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NPI Code Detail

MEDICARE: MAURY REGIONAL SURGERY CENTER LLC

MEDICARE: MAURY REGIONAL SURGERY CENTER 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
1261QA1903XAmbulatory Surgical Clinic/Center

General Provider Information

NPI Number : 1548303969
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAURY REGIONAL SURGERY CENTER LLC
Provider Business Mailing Address
First Line : 1220 TROTWOOD AVE
Second Line :
City : COLUMBIA
State : TN
Zip : 38401-6433
Country : US
Telephone Number : 931-381-1111
Fax Number : 931-540-4294
Provider Business Practice Location Address
First Line : 1220 TROTWOOD AVE
Second Line :
City : COLUMBIA
State : TN
Zip : 38401-6433
Country : US
Telephone Number : 931-381-1111
Fax Number : 931-540-4294
Authorized Official
Title or Position : ADMINISTRATOR
Name : MS. KATHRYN STRICKLAND
Credential :
Telephone Number : 931-381-1111
Provider Enumeration Date : 02/15/2007
Last Update Date : 03/11/2008

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Directions to “MAURY REGIONAL SURGERY CENTER LLC ” Practice Location

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