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Organization
SOUTHERN HILLS SURGERY CENTER LP
Active
Organization
SOUTHERN HILLS SURGERY CENTER LP
Active
Other names
Southern Hills Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DON LIEDTKE (VICE PRESIDENT)
(615) 344-5507
Entity
Organization
Contact information
Practice address
360 WALLACE RD, NASHVILLE, TN 37211-4883
(615) 332-3030
(615) 332-3029
Mailing address
360 WALLACE RD, NASHVILLE, TN 37211-4883
(615) 332-3030
(615) 332-3029
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
185
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3739642
—
TN
Enumeration date
04/10/2006
Last updated
06/11/2008
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