Organization
SURGICAL INNOVATIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHANE DURKEE VICE PRESIDENT (VICE PRESIDENT)
(770) 344-9819
Entity
Organization
Contact information
Practice address
163 BUSINESS PARK DR, SUITE #10, LEBANON, TN 37090-1241
(615) 547-9077
Mailing address
163 BUSINESS PARK DR, SUITE #10, LEBANON, TN 37090-1241
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/21/2011
Last updated
09/04/2012
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