East Tennessee Ambulatory Surgery Center LLC
NPI #1659360071 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1659360071
- Entity Type
- Organization
- Organization Name
- East Tennessee Ambulatory Surgery Center LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Oct 18, 2005
- Last Updated
- Apr 20, 2008
Practice Location
- Address
- 701 MED TECH PKWY
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37604-2259
- Phone
- (423) 283-7302
Authorized Official
- Name
- JIM N BRANTNER, MD
- Title
- MEDICAL DIRECTOR
- Phone
- (423) 283-7302
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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