Organization
PREMIER ORTHOPAEDIC SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GINA THRONEBERRY RN (ADMINISTRATOR)
(615) 332-3600
Entity
Organization
Contact information
Practice address
394 HARDING PL STE 100, NASHVILLE, TN 37211-3980
(615) 332-3600
(615) 332-3630
Mailing address
394 HARDING PL STE 100, NASHVILLE, TN 37211-3980
(615) 332-3600
(615) 332-3630
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0000000168
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4084798
BLUE CROSS BLUE SHIELD
TN
Enumeration date
07/09/2006
Last updated
05/05/2008
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