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NPI Code Detail

MEDICARE: SURGICAL MONITORING SERVICES, LLC

MEDICARE: SURGICAL MONITORING SERVICES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084N0400XNeurology PhysicianMD
22084N0400XNeurology Physician

Other Identifiers

General Provider Information

NPI Number : 1811074859
Entity Type Code : Organization
Provider Name (Legal Business Name) : SURGICAL MONITORING SERVICES, LLC
Provider Business Mailing Address
First Line : 3 MARYLAND FARMS STE 200
Second Line :
City : BRENTWOOD
State : TN
Zip : 37027-5780
Country : US
Telephone Number : 800-348-4565
Fax Number : 615-345-5405
Provider Business Practice Location Address
First Line : 3 MARYLAND FARMS STE 200
Second Line :
City : BRENTWOOD
State : TN
Zip : 37027-5780
Country : US
Telephone Number : 800-348-4565
Fax Number : 615-345-5405
Authorized Official
Title or Position : EVP, CFO & CRO
Name : MR. JEFFREY GRAY
Credential :
Telephone Number : 800-348-4565
Provider Enumeration Date : 11/01/2006
Last Update Date : 12/19/2018

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Directions to “SURGICAL MONITORING SERVICES, LLC ” Practice Location

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