Organization
CLINTON COUNTY OUTPATIENT SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN L PAGE (VICE-PRESIDENT)
(615) 844-9800
Entity
Organization
Contact information
Practice address
1150 W LOCUST ST STE 200, WILMINGTON, OH 45177-2063
(937) 383-0088
Mailing address
103 CONTINENTAL PL STE 200, BRENTWOOD, TN 37027-1042
(615) 844-9800
(615) 844-9883
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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