Organization
CLARKSVILLE EYE SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
C P FITCH MD (PRESIDENT)
(931) 245-1940
Entity
Organization
Contact information
Practice address
141 CHESAPEAKE LANE, STE 200, CLARKSVILLE, TN 37040-5243
(931) 245-1940
(931) 245-1982
Mailing address
141 CHESAPEAKE LANE, SUITE 200, CLARKSVILLE, TN 37040-5243
(931) 245-1940
(931) 245-1982
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
TN
Other
Enumeration date
06/26/2008
Last updated
11/18/2011
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