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Organization
JEFFERSON ASC, LLC
Active
Organization
JEFFERSON ASC, LLC
Active
Other names
Volunteer Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA MUSIC (DIRECTOR OF PROVIDER ENROLLMENT)
(615) 465-7377
Entity
Organization
Contact information
Practice address
6242 W ANDREW JOHNSON HWY, TALBOTT, TN 37877-8604
(702) 271-8476
Mailing address
6242 W ANDREW JOHNSON HWY, TALBOTT, TN 37877-8604
(423) 690-3250
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/03/2020
Last updated
08/21/2024
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