Kingsport Ambulatory Surgery Ctr

NPI 1053404574 - Clinic/Center - 261QA1903X

NPI Details
NPI 1053404574
Enumeration Date 10/02/2006
Last Updated 10/27/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LYNN LYNN
Position SVP/CFO
Phone (423) 857-6300
Fax
Practice Location
2204 PAVILION DRIVE
SUITE 300
KINGSPORT TN, 37660-4653, US
Phone (423) 857-6300
Fax
Business Location
311 PRINCETON RD
JOHNSON CITY TN, 37601-2026, US
Phone
Fax (423) 857-6324
Toxanomy
Taxonomy Code 261QA1903X
License State Tennessee
License Number 0000000113
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According to our database, Kingsport Ambulatory Surgery Ctr NPI is 1053404574, taxonomy code is 261QA1903X and license number is 0000000113, license state is located at Tennessee. Kingsport Ambulatory Surgery Ctr physically located at 2204 Pavilion Drive, Kingsport TN, 37660-4653. NPI Number 1033115704 has the healthcare provider type.

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1053404574 NPI number is provided on an as is basis without warranty of any kind. 1053404574 is maintained by the National Plan & Provider Enumeration System. The contents of Kingsport Ambulatory Surgery Ctr are for informational purposes only.