Organization
BOULEVARD ENT SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANELLE L JOHNSON RN, BSN (ADMINISTRATIVE DIRECTOR)
(865) 427-4040
Entity
Organization
Contact information
Practice address
9300 PARK WEST BLVD, KNOXVILLE, TN 37923-4301
(865) 427-4040
(865) 427-4041
Mailing address
9300 PARK WEST BLVD, KNOXVILLE, TN 37923-4301
(865) 427-4040
(865) 427-4041
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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