Organization
PARIS SURGICAL SPECIALISTS, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACIA LYNN PUCKETT (OFFICE MANAGER)
(731) 644-3211
Entity
Organization
Contact information
Practice address
235 TYSON AVE, PARIS, TN 38242-4544
(731) 644-3211
(731) 644-1552
Mailing address
235 TYSON AVE, PARIS, TN 38242-4544
(731) 644-3211
(731) 644-1552
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
208600000X
Surgery Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DB4003
RAILROAD MEDICARE GROUP
TN
Enumeration date
07/14/2006
Last updated
11/05/2007
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