Organization
PHYSICIAN'S SURGERY CENTER OF KNOXVILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN O'CONNOR (OFFICER, AUTHORIZED OFFICIAL)
(615) 376-7315
Entity
Organization
Contact information
Practice address
1819 CLINCH AVE, STE 206, KNOXVILLE, TN 37916-2435
(865) 522-2949
(865) 637-3259
Mailing address
1819 CLINCH AVE, STE 206, KNOXVILLE, TN 37916-2435
(865) 522-2949
(865) 637-3259
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0000000028
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3288258
—
TN
Enumeration date
07/06/2005
Last updated
10/15/2024
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