Organization
TRILLIUM SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SRIKRISHNA MANNAVA (OWNER)
(614) 729-8483
Entity
Organization
Contact information
Practice address
680 BUCKLES CT N, GAHANNA, OH 43230-6924
(614) 729-8483
Mailing address
680 BUCKLES CT N STE 2D, GAHANNA, OH 43230-6924
(614) 729-8483
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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