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Organization
FIRST CHOICE NEUROSURGERY
Active
Organization
FIRST CHOICE NEUROSURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY P HARTMAN M.D. (OWNER)
(423) 392-9300
Entity
Organization
Contact information
Practice address
438 E VANN RD, SUITE 301, GREENEVILLE, TN 37743-7202
(423) 392-9300
(423) 392-9365
Mailing address
135 W RAVINE RD, SUITE 4A, KINGSPORT, TN 37660-3847
(423) 392-9300
(423) 392-9365
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
139176
TN
261QM2500X
Medical Specialty Clinic/Center
Primary
36815
TN
332B00000X
Durable Medical Equipment & Medical Supplies
36815
TN
Other
Enumeration date
05/09/2007
Last updated
04/20/2008
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