Organization
NORTH SURGERY CENTER LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRYE B CRONE RN (ADMINISTRATOR)
(901) 516-1716
Entity
Organization
Contact information
Practice address
3950 NEW COVINGTON PIKE, SUITE 100, MEMPHIS, TN 38128
(901) 373-1991
(901) 516-1755
Mailing address
3950 NEW COVINGTON PIKE, SUITE 100, MEMPHIS, TN 38128
(901) 373-1991
(901) 516-1755
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0000000096
TN
261QA1903X
Ambulatory Surgical Clinic/Center
096
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3100749
BLUE CROSS BLUE SHIELD
TN
01
—
490004005
RAILROAD MEDICARE
TN
Enumeration date
01/23/2006
Last updated
02/01/2012
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