Organization
SAPLING GROVE AMBULATORY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA ARMSTRONG (COMPTROLLER)
(423) 857-2008
Entity
Organization
Contact information
Practice address
240 MEDICAL PARK BLVD, STE 2400, BRISTOL, TN 37620-7346
(423) 990-2470
(423) 990-2471
Mailing address
PO BOX 449, KINGSPORT, TN 37662-0449
(423) 990-2470
(423) 990-2471
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0116
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
TN
Enumeration date
06/10/2006
Last updated
06/06/2018
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