Healthcare Provider Details

I. General information

NPI: 1669176186
Provider Name (Legal Business Name): SAMUEL F. HUNTER NEUROLOGY ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2023
Last Update Date: 04/19/2024
Certification Date: 04/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 STEPHEN P YOKICH PKWY STE H
SPRING HILL TN
37174-3326
US

IV. Provider business mailing address

625 BAKERS BRIDGE AVE #105 BOX 240
FRANKLIN TN
37067-1784
US

V. Phone/Fax

Practice location:
  • Phone: 615-791-5470
  • Fax: 615-595-0265
Mailing address:
  • Phone: 615-791-5480
  • Fax: 615-595-0265

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code2084D0003X
TaxonomyDiagnostic Neuroimaging (Psychiatry & Neurology) Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. SAMUEL FORRESTER HUNTER
Title or Position: MANAGING MEMBER
Credential: M.D., PH.D.
Phone: 615-791-5470