Organization
HOLSTON VALLEY AMBULATORY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN OCONNOR (OFFICER/AUTHORIZED OFFICIAL)
(615) 376-7315
Entity
Organization
Contact information
Practice address
103 W STONE DR, KINGSPORT, TN 37660-3220
(423) 224-4910
Mailing address
103 W STONE DR, KINGSPORT, TN 37660-3220
(423) 224-4910
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
00000142
TN
Other
Enumeration date
05/23/2006
Last updated
09/17/2024
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