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Organization
TENNESSEE PAIN SURGERY CENTER, LLC
Active
Organization
TENNESSEE PAIN SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEREK OLIVER (BUSINESS OFFICE MANAGER)
(615) 941-8501
Entity
Organization
Contact information
Practice address
5811 CROSSINGS BLVD, ANTIOCH, TN 37013-3130
(615) 941-4820
(615) 941-4989
Mailing address
5811 CROSSINGS BLVD, ANTIOCH, TN 37013-3130
(615) 941-4820
(615) 941-4989
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
154
TN
Other
Enumeration date
07/05/2006
Last updated
11/29/2011
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