Physicians Surgery Center Of Chattanooga, LLC
Clinic/Center, Ambulatory Surgical in Chattanooga, TN. Organization (NPI-2).
NPI number1003861998
StatusActive
Last updated in NPPESOct 15, 2024
Details
- NPI
- 1003861998
- Entity type
- Organization (NPI-2)
- Legal business name
- Physicians Surgery Center Of Chattanooga, LLC
- Organization subpart
- No
- Enumeration date
- May 23, 2006
- Certification date
- Oct 15, 2024
- Last updated
- Oct 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | 00071 | TN | Yes |
Other names
- Physicians Surgery Center Of Chattanooga (Doing Business As)
Practice location
924 Spring Creek RoadChattanooga, TN 37412-3910
Phone 423-899-1600 · Fax 423-889-2171
Mailing address
924 Spring Creek RoadChattanooga, TN 37412-3910
Phone 423-899-1600 · Fax 423-889-2171
Authorized official
Kristen Occonor
Medicare Authorized Official
6153767315
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