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Organization
SPECIALTY SURGERY CENTER, PLLC
Active
Organization
SPECIALTY SURGERY CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM L BOWLIN (BILLING MANAGER)
(931) 484-2500
Entity
Organization
Contact information
Practice address
116 BROWN AVE, CROSSVILLE, TN 38555-7703
(931) 484-2500
(931) 456-7659
Mailing address
116 BROWN AVE, CROSSVILLE, TN 38555-7703
(931) 484-2500
(931) 456-7659
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0000000091
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659354074
NPI
TN
05
—
3287828
—
TN
Enumeration date
11/21/2005
Last updated
10/22/2008
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