Organization
TENNESSEE SURGICAL PA ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STAYSIE BALTAZAR (PAMS NPI ADMINISTRATOR)
(210) 598-2800
Entity
Organization
Contact information
Practice address
4117 HILLSBORO PIKE # 103-401, NASHVILLE, TN 37215-2728
(615) 398-8734
Mailing address
4117 HILLSBORO PIKE # 103-401, NASHVILLE, TN 37215-2728
(615) 398-8734
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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