Organization
CENTENNIAL SURGICAL ASSOCIATES LLC
Active
Parent organization
HEALTHSERV AQUISITION LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTHSERV AQUISITION LLC
Authorized official
GARY DUNCAN (VICE PRESIDENT)
(615) 661-1611
Entity
Organization
Contact information
Practice address
397 WALLACE RD, SUITE C414, NASHVILLE, TN 37211-4854
(615) 781-9499
(615) 781-3882
Mailing address
397 WALLACE RD, SUITE C414, NASHVILLE, TN 37211-4854
(615) 781-9499
(615) 781-3882
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134213648
—
TN
05
—
3736306
—
TN
Enumeration date
10/02/2006
Last updated
10/12/2015
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