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Organization
SOUTHCREST SURGERY CENTER LP
Active
Organization
SOUTHCREST SURGERY CENTER LP
Active
Other names
SouthCrest Surgicenter
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE BREWER (DIRECTOR OF PROVIDER ENROLLMENT)
(877) 892-9813
Entity
Organization
Contact information
Practice address
8803 S 101ST EAST AVE, SUITE 160, TULSA, OK 74133-5726
(918) 294-2100
(918) 294-2110
Mailing address
7100 COMMERCE WAY, SUITE 180, BRENTWOOD, TN 37027-2829
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0063
OK
Other
Enumeration date
05/17/2006
Last updated
03/05/2008
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