# UROLOGY SURGERY CENTER LP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073598066
- **Authorized official:** MARY ELLEN DANIELSON (DIRECTOR FACILITY ADMINISTRATOR)
- **Authorized official phone:** (615) 250-9314

## Contact information

- **Practice address:** 2801 CHARLOTTE AVE, NASHVILLE, TN 37209-4035
- **Practice address phone:** (615) 250-9302
- **Practice address fax:** (615) 250-9301
- **Mailing address:** PO BOX 409184, ATLANTA, GA 30384-9184
- **Mailing address phone:** (615) 261-6000
- **Mailing address fax:** (615) 261-6052

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 0000000019 | TN | Yes |

## Other

- **Enumeration date:** 12/13/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1000990 | BLUE CROSS | TN |
| 05 | — | 3287149 | — | TN |