Organization
SOUTHWIND ENDOSCOPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD MICHAEL M.D. (PHYSICIAN/ PART OWNER)
(901) 367-9001
Entity
Organization
Contact information
Practice address
3725 CHAMPION HILLS DR, #2000, MEMPHIS, TN 38125-2597
(901) 367-9001
(901) 565-8787
Mailing address
3725 CHAMPION HILLS DR, SUITE 200, MEMPHIS, TN 38125-2597
(901) 367-9001
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/12/2006
Last updated
11/30/2011
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