Maryville Surgical Center

NPI 1134120280 - Clinic/Center - 261QA1903X

NPI Details
NPI 1134120280
Enumeration Date 08/10/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name MARY ELLEN MARY ELLEN
Position ADMINISTRATOR
Phone (865) 380-9070
Fax (865) 380-9093
Practice Location
763 E LAMAR ALEXANDER PKWY
MARYVILLE TN, 37804-5000, US
Phone (865) 380-9070
Fax (865) 380-9093
Business Location
763 E LAMAR ALEXANDER PKWY
MARYVILLE TN, 37804-5000, US
Phone (865) 380-9070
Fax (865) 380-9093
Toxanomy
Taxonomy Code 261QA1903X
License State Tennessee
License Number 0000000107
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According to our database, Maryville Surgical Center NPI is 1134120280, taxonomy code is 261QA1903X and license number is 0000000107, license state is located at Tennessee. Maryville Surgical Center physically located at 763 E Lamar Alexander Pkwy, Maryville TN, 37804-5000. NPI Number 1033115704 has the healthcare provider type.

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1134120280 NPI number is provided on an as is basis without warranty of any kind. 1134120280 is maintained by the National Plan & Provider Enumeration System. The contents of Maryville Surgical Center are for informational purposes only.