Healthcare Provider Details
I. General information
NPI: 1023215233
Provider Name (Legal Business Name): CENTER FOR NEUROLOGICAL TREATMENT & RESEARCH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/29/2007
Last Update Date: 06/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
125 COOL SPRINGS BLVD SUITE 240
FRANKLIN TN
37067
US
IV. Provider business mailing address
515 STONECREST PKWY STE 200
SMYRNA TN
37167-6826
US
V. Phone/Fax
- Phone: 615-771-6000
- Fax: 615-770-6009
- Phone: 618-535-5550
- Fax: 615-355-8699
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084S0012X |
| Taxonomy | Sleep Medicine (Psychiatry & Neurology) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RICHARD
RUBINOWICZ
Title or Position: CHIEF MANAGER
Credential: MD
Phone: 615-355-5510