Organization
TENNESSEE PAIN SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEREK OLIVER (BUSINESS OFFICE MANAGER)
(615) 941-8501
Entity
Organization
Contact information
Practice address
5811 CROSSINGS BLVD, ANTIOCH, TN 37013-3130
(615) 941-4820
(615) 941-4989
Mailing address
5811 CROSSINGS BLVD, ANTIOCH, TN 37013-3130
(615) 941-4820
(615) 941-4989
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
154
TN
Other
Enumeration date
07/05/2006
Last updated
11/29/2011
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