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Organization
PHYSICIANS SURGERY CENTER OF CHATTANOOGA, LLC
Active
Organization
PHYSICIANS SURGERY CENTER OF CHATTANOOGA, LLC
Active
Other names
Physicians Surgery Center of Chattanooga
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN OCCONOR (MEDICARE AUTHORIZED OFFICIAL)
(615) 376-7315
Entity
Organization
Contact information
Practice address
924 SPRING CREEK ROAD, CHATTANOOGA, TN 37412-3910
(423) 899-1600
(423) 889-2171
Mailing address
924 SPRING CREEK ROAD, CHATTANOOGA, TN 37412-3910
(423) 899-1600
(423) 889-2171
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
00071
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0873969A
—
GA
05
—
3288496
—
TN
Enumeration date
05/23/2006
Last updated
10/15/2024
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