# TRANSSOUTH HEALTH CARE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TransSouth Health Care PC, DDC Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740277821
- **Authorized official:** KRISTINA MATERNA (DIRECTOR, CREDENTIALING)
- **Authorized official phone:** (901) 377-8219

## Contact information

- **Practice address:** 9 PHYSICIANS DR, JACKSON, TN 38305-2071
- **Practice address phone:** (731) 661-0086
- **Practice address fax:** (731) 661-0281
- **Mailing address:** ONE GI CREDENTIALING DEPARTMENT, PO BOX 381468, GERMANTOWN, TN 38183-1468

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 0000000070 | TN | Yes |

## Other

- **Enumeration date:** 10/04/2005
- **Last updated:** 02/03/2026
