# FIRST CHOICE NEUROSURGERY

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

## Provider details

- **NPI number:** 1184838245
- **Authorized official:** LARRY P HARTMAN M.D. (OWNER)
- **Authorized official phone:** (423) 392-9300

## Contact information

- **Practice address:** 438 E VANN RD, SUITE 301, GREENEVILLE, TN 37743-7202
- **Practice address phone:** (423) 392-9300
- **Practice address fax:** (423) 392-9365
- **Mailing address:** 135 W RAVINE RD, SUITE 4A, KINGSPORT, TN 37660-3847
- **Mailing address phone:** (423) 392-9300
- **Mailing address fax:** (423) 392-9365

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WR0006X | Registered Nurse First Assistant | 139176 | TN | — |
| 261QM2500X | Medical Specialty Clinic/Center | 36815 | TN | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 36815 | TN | — |

## Other

- **Enumeration date:** 05/09/2007
- **Last updated:** 04/20/2008