Organization
SSCA SURGICAL ASSOCIATES OF COLUMBIA
Active
Other names
Surgery Center of Columbia
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH A BOLTON (ADMINISTRATOR CEO)
(931) 381-3700
Entity
Organization
Contact information
Practice address
725 SOUTH JAMES CAMPBELL BLVD, COLUMBIA, TN 38401
(931) 381-3700
(931) 381-9093
Mailing address
PO BOX 1285, 725 SOUTH JAMES CAMPBELL BLVD, COLUMBIA, TN 38401
(931) 381-3700
(931) 381-9093
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0000000033
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000992
BLUE CROSS
—
05
—
3287168
—
TN
Enumeration date
07/07/2006
Last updated
08/22/2020
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