Organization
METHODIST SURGERY CENTER GERMANTOWN LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SHERRYE B CRONE RN (ADMINISTRATOR)
(901) 516-1716
Entity
Organization
Contact information
Practice address
1363 SOUTH GERMANTOWN ROAD, GERMANTOWN, TN 38138
(901) 624-6634
(901) 516-1755
Mailing address
1363 SOUTH GERMANTOWN ROAD, GERMANTOWN, TN 38138
(901) 624-6634
(901) 516-1755
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0000000084
TN
261QA1903X
Ambulatory Surgical Clinic/Center
084
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3075179
BLUE CROSS BLUE SHIELD
TN
01
—
4900003520
RAILROAD MEDICARE
TN
Enumeration date
01/23/2006
Last updated
02/01/2012
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