Organization
U.S. MEDICAL GROUP OF TENNESSEE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE M GRESHAM (DIRECTOR OF OPERATIONS)
(407) 849-2288
Entity
Organization
Contact information
Practice address
200 GULFSTREAM RD, GARDEN CITY, GA 31408-9677
(912) 713-2306
Mailing address
1405 S ORANGE AVE STE 603, ORLANDO, FL 32806
(407) 849-2288
(407) 849-6412
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/27/2024
Last updated
01/12/2026
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