Provider Demographics
NPI:1508104092
Name:NEUROLOGY AND HEADACHE ASSOCIATES PLLC
Entity Type:Organization
Organization Name:NEUROLOGY AND HEADACHE ASSOCIATES PLLC
Other - Org Name:NEUROLOGY AND HEADACHE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LANNY
Authorized Official - Middle Name:J
Authorized Official - Last Name:TURKEWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-692-4980
Mailing Address - Street 1:402 POINTE CLEAR DR
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-9332
Mailing Address - Country:US
Mailing Address - Phone:615-692-4980
Mailing Address - Fax:
Practice Address - Street 1:301 WOLVERINE TRL
Practice Address - Street 2:SUITE 100
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-5656
Practice Address - Country:US
Practice Address - Phone:615-692-4980
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-18
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty