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Southeastern Surgical Specialists

Surgery in Dayton, TN. Organization (NPI-2).

NPI number1285335232
StatusActive
Last updated in NPPESJan 22, 2024

Details

NPI
1285335232
Entity type
Organization (NPI-2)
Legal business name
Southeastern Surgical Specialists
Organization subpart
No
Enumeration date
Mar 16, 2023
Certification date
Jan 22, 2024
Last updated
Jan 22, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery––Yes

Practice location

301 White Oak Rd Ste 100
Dayton, TN 37321-2530

Phone 423-775-5800 · Fax 423-775-1981

Mailing address

Department #888603
Knoxville, TN 37995-0001

Phone 865-670-6199 · Fax 865-670-6198

Other practice locations

83 Memorial Dr
Winchester, TN 37398-2401

Phone 931-968-3966 · Fax 931-962-0373

Authorized official

Craig Swafford
Owner
4237755800

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