Provider Demographics
NPI:1649764911
Name:ADDICTION CENTER OF NASHVILLE LLC
Entity Type:Organization
Organization Name:ADDICTION CENTER OF NASHVILLE LLC
Other - Org Name:RUTH CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHAUN
Authorized Official - Middle Name:
Authorized Official - Last Name:CARRIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-548-3177
Mailing Address - Street 1:1300 HATCHER LN STE 5
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38401-3554
Mailing Address - Country:US
Mailing Address - Phone:931-548-3177
Mailing Address - Fax:931-548-3177
Practice Address - Street 1:1300 HATCHER LN STE 5
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-3554
Practice Address - Country:US
Practice Address - Phone:931-548-3177
Practice Address - Fax:931-548-3177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-19
Last Update Date:2019-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction MedicineGroup - Single Specialty