Southeastern Surgical, LLC

NPI #1326796426 in Chattanooga, Tennessee

Provider Information

NPI Number
1326796426
Entity Type
Organization
Organization Name
Southeastern Surgical, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
SOUTHEASTERN SURGICAL, LLC
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Mar 17, 2022
Last Updated
Apr 7, 2023

Practice Location

Address
1247 RIVERFRONT PKWY STE 100
ZIP Code
37402-2108
Phone
(423) 206-9000

Authorized Official

Name
JAMES E. JOLLEY
Title
PRESIDENT
Phone
(423) 693-2175

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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