Organization
ASC-TN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS NICHOLS (AR DIRECTOR)
(586) 498-9440
Entity
Organization
Contact information
Practice address
995 S YATES RD STE 1, MEMPHIS, TN 38119-0882
(901) 527-7100
Mailing address
27087 GRATIOT AVE, ROSEVILLE, MI 48066-2947
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/15/2007
Last updated
06/26/2008
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