Provider Demographics
NPI:1649637133
Name:TENNESSEE TMS CENTER, PLLC
Entity type:Organization
Organization Name:TENNESSEE TMS CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:GAMMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-861-1000
Mailing Address - Street 1:1720 W END AVE
Mailing Address - Street 2:SUITE 240
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2612
Mailing Address - Country:US
Mailing Address - Phone:615-861-1000
Mailing Address - Fax:615-320-1177
Practice Address - Street 1:1720 W END AVE
Practice Address - Street 2:SUITE 240
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2612
Practice Address - Country:US
Practice Address - Phone:615-861-1000
Practice Address - Fax:615-320-1177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-28
Last Update Date:2016-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN405982084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty