Provider Demographics
NPI:1407864242
Name:ASSOCIATES IN NEUROLOGY, PLC
Entity Type:Organization
Organization Name:ASSOCIATES IN NEUROLOGY, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PLC MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:H
Authorized Official - Last Name:DONOVAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:931-528-5811
Mailing Address - Street 1:105 CHERRY AVE
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501-2521
Mailing Address - Country:US
Mailing Address - Phone:931-528-5811
Mailing Address - Fax:931-526-1497
Practice Address - Street 1:315 N WASHINGTON AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-2603
Practice Address - Country:US
Practice Address - Phone:931-528-5811
Practice Address - Fax:931-526-1497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD017911174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty