Provider Demographics
NPI:1174316095
Name:MIDDLE TENNESSEE NEUROSURGICAL SERVICES
Entity type:Organization
Organization Name:MIDDLE TENNESSEE NEUROSURGICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:CARIANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:YANTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-507-0800
Mailing Address - Street 1:2002 RICHARD JONES RD STE A300
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2866
Mailing Address - Country:US
Mailing Address - Phone:423-667-5187
Mailing Address - Fax:
Practice Address - Street 1:2002 RICHARD JONES RD STE A300
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-2866
Practice Address - Country:US
Practice Address - Phone:423-667-5187
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-23
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty