Healthcare Provider Details

I. General information

NPI: 1184662157
Provider Name (Legal Business Name): WILLIAMSON SURGERY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 06/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4323 CAROTHERS PARKWAY SUITE 100
FRANKLIN TN
37067-5915
US

IV. Provider business mailing address

4323 CAROTHERS PARKWAY SUITE 100
FRANKLIN TN
37067-5915
US

V. Phone/Fax

Practice location:
  • Phone: 615-435-7972
  • Fax: 615-435-7937
Mailing address:
  • Phone: 615-435-7972
  • Fax: 615-435-7937

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number0000000187
License Number StateTN

VIII. Authorized Official

Name: MS. KATHERINE L. REED
Title or Position: MEDICARE AUTHORIZED OFFICIAL
Credential:
Phone: 972-763-3859