# PHYSICIAN'S SURGERY CENTER OF KNOXVILLE LLC

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

## Provider details

- **NPI number:** 1134126097
- **Authorized official:** KRISTEN O'CONNOR (OFFICER, AUTHORIZED OFFICIAL)
- **Authorized official phone:** (615) 376-7315

## Contact information

- **Practice address:** 1819 CLINCH AVE, STE 206, KNOXVILLE, TN 37916-2435
- **Practice address phone:** (865) 522-2949
- **Practice address fax:** (865) 637-3259
- **Mailing address:** 1819 CLINCH AVE, STE 206, KNOXVILLE, TN 37916-2435
- **Mailing address phone:** (865) 522-2949
- **Mailing address fax:** (865) 637-3259

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 0000000028 | TN | Yes |

## Other

- **Enumeration date:** 07/06/2005
- **Last updated:** 10/15/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3288258 | — | TN |