Organization
SOUTHEAST OHIO SURGICAL SUITES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER HARTSHORN (OFFICER/AUTHORIZED OFFICIAL)
(314) 800-2017
Entity
Organization
Contact information
Practice address
20 UNIVERSITY ESTATES BLVD, SUITE 110, ATHENS, OH 45701-2869
(740) 856-9044
Mailing address
20 UNIVERSITY ESTATES BLVD, SUITE 110, ATHENS, OH 45701-2869
(740) 589-7710
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1131AS
OH
261QA1903X
Ambulatory Surgical Clinic/Center
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Other
Enumeration date
07/01/2015
Last updated
03/04/2021
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