Morehouse Ouachita Surgery Associates

NPI #1558908632 in Waverly, Tennessee

Provider Information

NPI Number: 1558908632
Entity Type: Organization
Organization Name: Morehouse Ouachita Surgery Associates
Subpart: Yes (part of a larger organization)
Parent Organization: MOREHOUSE OUACHITA SURGERY ASSOCIATES
Primary Specialty: Clinic/Center
Enumeration Date: Dec 7, 2019
Last Updated: Dec 9, 2019

Practice Location

Address: 451 HIGHWAY 13 S
City: Waverly
State: Tennessee
ZIP Code: 37185-2109
Phone: (731) 535-3099

Authorized Official

Name: LISA KAY PAGE
Title: CREDENTIALING MANAGER
Phone: (731) 693-3465

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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