Organization Name: | SURGICAL PROFESSIONALS, INC |
NPI Number: | 1235545005 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BILLY S WILLIAMS (PRESIDENT/CEO) |
Mailing Address: | 1810 Toliver Trce Mount Juliet |
State: | TN US |
Postal Code: | 371224940 |
Phone Number: | 6158313711 |
Fax Number: | 6158313713 |
NPI Enumeration Date: | 07/01/2014 |
NPI Last Update Date: | 07/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |