Centennial Surgical Associates LLC

NPI #1134213648 in Nashville, Tennessee

Provider Information

NPI Number: 1134213648
Entity Type: Organization
Organization Name: Centennial Surgical Associates LLC
Subpart: Yes (part of a larger organization)
Parent Organization: HEALTHSERV AQUISITION LLC
Primary Specialty: Surgery
Enumeration Date: Oct 2, 2006
Last Updated: Oct 12, 2015

Practice Location

Address: 397 WALLACE RD
Address 2: SUITE C414
City: Nashville
State: Tennessee
ZIP Code: 37211-4854
Phone: (615) 781-9499

Authorized Official

Name: GARY DUNCAN
Title: VICE PRESIDENT
Phone: (615) 661-1611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Surgery	208600000X	Primary

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