Organization
GERMANTOWN AMBULATORY SURGICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP ROYAL LANGSDON M.D. (MEDICAL DIRECTOR)
(901) 756-5474
Entity
Organization
Contact information
Practice address
7499 POPLAR PIKE, GERMANTOWN, TN 38138-5934
(901) 755-6465
(901) 757-5543
Mailing address
7499 POPLAR PIKE, GERMANTOWN, TN 38138-5934
(901) 755-6465
(901) 757-5543
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0000000059
TN
Other
Enumeration date
11/08/2006
Last updated
02/08/2012
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