Healthcare Provider Details

I. General information

NPI: 1588845838
Provider Name (Legal Business Name): COLUMBIA SURGERY GROUP, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2007
Last Update Date: 11/15/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

808 HATCHER LN
COLUMBIA TN
38401-3524
US

IV. Provider business mailing address

808 HATCHER LN
COLUMBIA TN
38401-3524
US

V. Phone/Fax

Practice location:
  • Phone: 931-381-3975
  • Fax: 615-382-8056
Mailing address:
  • Phone: 931-381-3975
  • Fax: 615-382-8056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN P BROWN
Title or Position: PROVIDER / OWNER
Credential: M.D.
Phone: 931-381-3975