Organization
CENTENNIAL SURGERY CENTER LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM GREGORY SWINNEY (VP)
(972) 789-2877
Entity
Organization
Contact information
Practice address
345 23RD AVE N STE 201, NASHVILLE, TN 37203-1513
(615) 327-1123
(615) 327-0261
Mailing address
345 23RD AVE N, SUITE 201, NASHVILLE, TN 37203-1513
(615) 327-1123
(615) 327-0261
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0000000008
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3287049
—
TN
Enumeration date
04/10/2006
Last updated
04/17/2018
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