Organization
SURGERY CENTER OF OAK RIDGE, LLC
Active
Other names
Advanced Family Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SONYA SWINT (BUSINESS OFFICE MANAGER)
(865) 865-5014
Entity
Organization
Contact information
Practice address
944 OAK RIDGE TPKE, SUITE 200, OAK RIDGE, TN 37830-6959
(865) 835-5000
(865) 835-5005
Mailing address
944 OAK RIDGE TPKE, SUITE 200, OAK RIDGE, TN 37830-6959
(865) 865-5001
(865) 865-5005
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0000000125
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00003022
NHC
TN
01
—
0140258707
CIGNA
TN
01
—
080037499
EEOICP
TN
01
—
3148496
BLUECROSS BLUESHIELD TN
TN
05
—
3288148
—
TN
01
—
36001022
KENTUCKY MEDICAID
KS
01
—
A3783000
JOHN DEERE
TN
Enumeration date
09/26/2005
Last updated
04/18/2024
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