Dg Surgical-Nashville, LLC

NPI #1356000830 in Tullahoma, Tennessee

Provider Information

NPI Number: 1356000830
Entity Type: Organization
Organization Name: Dg Surgical-Nashville, LLC
Primary Specialty: Surgery
Enumeration Date: Dec 13, 2021
Last Updated: Dec 13, 2021

Practice Location

Address: 1821 N WASHINGTON ST # 2221
City: Tullahoma
State: Tennessee
ZIP Code: 37388-2221
Phone: (931) 455-2005

Authorized Official

Name: MR. GORDON JOHN BRUINSMA
Title: MANAGING MEMBER
Phone: (616) 293-4769

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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