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Organization

URLOGY AMBULATORY SURGERY CENTER LLC

Active
Other names
Wolf River Surgery Center
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHERRYE B CRONE RN (ADMINISTRATOR)
(901) 516-1716
Entity
Organization

Contact information

Practice address
1325 WOLF PARK DRIVE, SUITE 101, GERMANTOWN, TN 38138
(901) 252-3403
(901) 516-1755
Mailing address
1325 WOLF PARK DRIVE, SUITE 101, GERMANTOWN, TN 38138
(901) 252-3403
(901) 516-1755

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0000000134
TN
261QA1903X
Ambulatory Surgical Clinic/Center
134
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3288661
TN
01
4046074
BCBS
TN
01
490005620
RAILROAD MEDICARE
TN
Enumeration date
01/18/2006
Last updated
02/01/2012
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