| Organization Name: | BRISTOL SURGERY CENTER, LLC |
| NPI Number: | 1013964063 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KAREN J WILLIAMS (ADMINISTRATOR) |
| Mailing Address: | 350 Blountville Hwy Suite 108 Bristol |
| State: | TN US |
| Postal Code: | 376200213 |
| Phone Number: | 4238446120 |
| Fax Number: | 4238446119 |
| NPI Enumeration Date: | 05/27/2006 |
| NPI Last Update Date: | 01/16/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 0000000052 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |