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Organization
PHYSICIAN'S SURGERY CENTER OF KNOXVILLE LLC
Active
Organization
PHYSICIAN'S SURGERY CENTER OF KNOXVILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN O'CONNOR (OFFICER, AUTHORIZED OFFICIAL)
(615) 376-7315
Entity
Organization
Contact information
Practice address
1819 CLINCH AVE, STE 206, KNOXVILLE, TN 37916-2435
(865) 522-2949
(865) 637-3259
Mailing address
1819 CLINCH AVE, STE 206, KNOXVILLE, TN 37916-2435
(865) 522-2949
(865) 637-3259
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0000000028
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3288258
—
TN
Enumeration date
07/06/2005
Last updated
10/15/2024
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