Organization
ANNA CLINIC CORP
Active
Parent organization
ANNA CLINIC CORP
Other names
Union County Surgical Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANNA CLINIC CORP
Authorized official
DEBBIE T BREWER (DIRECTOR OF PROVIDER ENROLLMENT)
(615) 465-7626
Entity
Organization
Contact information
Practice address
515 N MAIN ST, SUITE D, ANNA, IL 62906-1668
(618) 833-2872
(618) 833-2414
Mailing address
515 N MAIN ST, SUITE D, ANNA, IL 62906-1668
(618) 833-2872
(618) 833-2414
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
02/22/2007
Last updated
12/20/2007
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