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Organization
EYE SURGERY CENTER OF LENOIR CITY, LLC
Active
Organization
EYE SURGERY CENTER OF LENOIR CITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN H RUDOLPH SR. CPA (CHIEF OPERATING OFFICER)
(865) 328-7400
Entity
Organization
Contact information
Practice address
5491 CREEKWOOD PARK BLVD STE B, LENOIR CITY, TN 37772-1204
(865) 328-7400
(865) 317-1270
Mailing address
5491 CREEKWOOD PARK BLVD STE B, LENOIR CITY, TN 37772-1204
(865) 635-4545
(865) 317-1270
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/20/2019
Last updated
07/23/2021
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