Organization
PHYSICIANS SURGERY CENTER OF CHATTANOOGA, LLC
Active
Other names
Anesthesia Services of PSCC
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN OCONNOR (OFFICER / AUTHORIZED OFFICIAL)
(615) 376-7315
Entity
Organization
Contact information
Practice address
924 SPRING CREEK ROAD, CHATTANOOGA, TN 37412-3910
(423) 889-1600
(423) 889-2171
Mailing address
924 SPRING CREEK ROAD, CHATTANOOGA, TN 37412-3910
(423) 889-1600
(423) 889-2171
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE2541
RAILROAD MEDICARE
TN
Enumeration date
01/02/2007
Last updated
01/26/2024
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