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Organization
NASHVILLE TN OPHTHALMOLOGY ASC LLC
Active
Organization
NASHVILLE TN OPHTHALMOLOGY ASC LLC
Active
Other names
LVC Outpatient Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP CLENDENIN (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
907 RIVERGATE PKWY, SUITE C 2020, GOODLETTSVILLE, TN 37072-2324
(615) 859-3121
(615) 859-3941
Mailing address
1A BURTON HILLS BLVD, ATTN: L&C, NASHVILLE, TN 37215-6103
(615) 859-3121
(615) 859-3941
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0000000149
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3739734
—
TN
Enumeration date
06/07/2006
Last updated
09/07/2023
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