Organization
CENTER FOR SURGICAL SPECIALTIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMENIC M. CANONICO MD (OWNER)
(931) 684-3504
Entity
Organization
Contact information
Practice address
310 COLLOREDO BLVD, STE B, SHELBYVILLE, TN 37160
(931) 684-3504
(931) 684-5122
Mailing address
310 COLLOREDO BLVD, STE B, SHELBYVILLE, TN 37160
(931) 684-3504
(931) 684-5122
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0000000128
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3288771E3739743
—
TN
01
—
4052519
BCBST
TN
Enumeration date
06/09/2006
Last updated
08/20/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us