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Organization

SOUTHERN HILLS SURGERY CENTER LP

Active
Other names
Southern Hills Surgery Center
Organization subpart
No

Provider details

NPI number
Authorized official
DON LIEDTKE (VICE PRESIDENT)
(615) 344-5507
Entity
Organization

Contact information

Practice address
360 WALLACE RD, NASHVILLE, TN 37211-4883
(615) 332-3030
(615) 332-3029
Mailing address
360 WALLACE RD, NASHVILLE, TN 37211-4883
(615) 332-3030
(615) 332-3029

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
185
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3739642
TN
Enumeration date
04/10/2006
Last updated
06/11/2008
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