Organization
MOREHOUSE OUACHITA SURGERY ASSOCIATES
Active
Organization
MOREHOUSE OUACHITA SURGERY ASSOCIATES
Active
Parent organization
MOREHOUSE OUACHITA SURGERY ASSOCIATES
Other names
CHUKWUOGO SURGERY CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOREHOUSE OUACHITA SURGERY ASSOCIATES
Authorized official
LISA KAY PAGE (CREDENTIALING MANAGER)
(731) 693-3465
Entity
Organization
Contact information
Practice address
451 HIGHWAY 13 S, WAVERLY, TN 37185-2109
(731) 535-3099
(731) 535-3123
Mailing address
631 RB WILSON DR STE 2, HUNTINGDON, TN 38344-1727
(731) 535-3099
(731) 535-3123
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/07/2019
Last updated
12/09/2019
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