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NPI Code Detail

MEDICARE: THE SURGICAL CLINIC PLLC

MEDICARE: THE SURGICAL CLINIC PLLC
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
1213ES0103XFoot & Ankle Surgery Podiatrist
2208600000XSurgery Physician

General Provider Information

NPI Number : 1417983099
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE SURGICAL CLINIC PLLC
Provider Business Mailing Address
First Line : PO BOX 291626
Second Line :
City : NASHVILLE
State : TN
Zip : 37229-1626
Country : US
Telephone Number : 615-346-6213
Fax Number : 615-346-6225
Provider Business Practice Location Address
First Line : 410 42ND AVE N STE 400
Second Line :
City : NASHVILLE
State : TN
Zip : 37209-3658
Country : US
Telephone Number : 615-346-6213
Fax Number : 615-346-6225
Authorized Official
Title or Position : PRESIDENT
Name : JOHN BOSKIND
Credential :
Telephone Number : 615-292-5722
Provider Enumeration Date : 06/24/2006
Last Update Date : 09/18/2023

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Directions to “THE SURGICAL CLINIC PLLC ” Practice Location

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