Organization
JELLICO SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRNJOT SINGH MD (PRESIDENT)
(219) 228-4355
Entity
Organization
Contact information
Practice address
188 HOSPITAL LN, JELLICO, TN 37762-4400
(423) 405-0060
(423) 617-0872
Mailing address
10757 RANDOLPH ST, CROWN POINT, IN 46307-7615
(219) 228-4355
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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