Organization
PREMIER-COVENANT ASTC LLC
Active
Other names
Premier Ambulatory Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY ROM (CEO)
(865) 306-5701
Entity
Organization
Contact information
Practice address
6408 PAPERMILL DR, KNOXVILLE, TN 37919-4858
(865) 306-5701
(865) 584-7712
Mailing address
6408 PAPERMILL DR STE 220, KNOXVILLE, TN 37919-4858
(865) 306-5701
(865) 584-7712
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/26/2019
Last updated
04/09/2024
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