Organization
MIDDLEBROOK ASC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY MUSIC (DIRECTOR, PROVIDER ENROLLMENT)
(615) 465-7377
Entity
Organization
Contact information
Practice address
1210 TENNOVA MEDICAL, KNOXVILLE, TN 37909
(702) 271-8476
Mailing address
1210 TENNOVA MEDICAL WAY, KNOXVILLE, TN 37909-3120
(865) 909-4949
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/07/2020
Last updated
08/21/2024
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