First Choice Neurosurgery
Clinic/Center, Medical Specialty in Greeneville, TN. Organization (NPI-2).
NPI number1184838245
StatusActive
Last updated in NPPESApr 20, 2008
Details
- NPI
- 1184838245
- Entity type
- Organization (NPI-2)
- Legal business name
- First Choice Neurosurgery
- Organization subpart
- No
- Enumeration date
- May 9, 2007
- Last updated
- Apr 20, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2500X | Clinic/Center, Medical Specialty | 36815 | TN | Yes |
| 163WR0006X | Registered Nurse, Registered Nurse First Assistant | 139176 | TN | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 36815 | TN |
Practice location
438 E Vann RdSuite 301
Greeneville, TN 37743-7202
Phone 423-392-9300 · Fax 423-392-9365
Mailing address
135 W Ravine RdSuite 4a
Kingsport, TN 37660-3847
Phone 423-392-9300 · Fax 423-392-9365
Authorized official
Larry P Hartman
Owner
4233929300
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