Organization
JEFFERSON ASC, LLC
Active
Other names
Volunteer Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA MUSIC (DIRECTOR OF PROVIDER ENROLLMENT)
(615) 465-7377
Entity
Organization
Contact information
Practice address
6242 W ANDREW JOHNSON HWY, TALBOTT, TN 37877-8604
(702) 271-8476
Mailing address
6242 W ANDREW JOHNSON HWY, TALBOTT, TN 37877-8604
(423) 690-3250
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/03/2020
Last updated
08/21/2024
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