Organization
UROLOGY SURGERY CENTER LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELLEN DANIELSON (DIRECTOR FACILITY ADMINISTRATOR)
(615) 250-9314
Entity
Organization
Contact information
Practice address
2801 CHARLOTTE AVE, NASHVILLE, TN 37209-4035
(615) 250-9302
(615) 250-9301
Mailing address
PO BOX 409184, ATLANTA, GA 30384-9184
(615) 261-6000
(615) 261-6052
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0000000019
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000990
BLUE CROSS
TN
05
—
3287149
—
TN
Enumeration date
12/13/2005
Last updated
08/22/2020
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