Organization
SOUTH CENTRAL SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS SMALL M.D. (MEDICAL DIR PRESIDENT MEDICAL STAFF)
(317) 736-9355
Entity
Organization
Contact information
Practice address
5002 E STATE ROAD 44, FRANKLIN, IN 46131-8578
(317) 346-7272
(317) 736-5157
Mailing address
5002 E STATE ROAD 44, FRANKLIN, IN 46131-8578
(317) 346-7272
(317) 736-5157
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000208428
ANTHEM PIN NUMBER
IN
Enumeration date
02/01/2007
Last updated
08/22/2020
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