Organization Name: | SURGERY CENTER OF OAK RIDGE, LLC |
NPI Number: | 1033105960 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VICKIE ALLISON (BUSINESS OFFICE MANAGER) |
Mailing Address: | 944 Oak Ridge Tpke Suite 200 Oak Ridge |
State: | TN US |
Postal Code: | 378306959 |
Phone Number: | 8658355000 |
Fax Number: | 8658355005 |
NPI Enumeration Date: | 09/26/2005 |
NPI Last Update Date: | 05/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | 0000000125 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |