| Organization Name: | PHYSICIANS SURGERY CENTER OF CHATTANOOGA, LLC |
| NPI Number: | 1003861998 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATHERINE L. REED (MEDICARE AUTHORIZED OFFICIAL) |
| Mailing Address: | 924 Spring Creek Road Chattanooga |
| State: | TN US |
| Postal Code: | 374123910 |
| Phone Number: | 4238991600 |
| Fax Number: | 4238892171 |
| NPI Enumeration Date: | 05/23/2006 |
| NPI Last Update Date: | 04/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 00071 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |