institution
Kingsport Ambulatory Surgery Ctr
Ambulatory Surgical Clinic/Center in Kingsport, Tennessee
NPI 1053404574

Kingsport Ambulatory Surgery Ctr is an Ambulatory Surgical Clinic/Center based in Dallas, TN and is specialized in Ambulatory Surgical. Kingsport Ambulatory Surgery Ctr practices in Kingsport, TN. The NPI Number for Kingsport Ambulatory Surgery Ctr is 1053404574 and holds a License No. 0000000113 (Tennessee).

The current practice location address for Kingsport Ambulatory Surgery Ctr is 2204 Pavilion Drive, Kingsport, TN and can be reached out via phone at 423-857-6300 and via fax at 423-857-6324. You can also correspond with Kingsport Ambulatory Surgery Ctr through the mailing address at 14201 DALLAS PKWY, DALLAS, TX - 75254-2916 (mailing address contact number: 972-763-3859).

Location: 2204 Pavilion Drive, Kingsport, TN, 75254-2916
institution
Provider Profile Details
NPI Number
1053404574
Provider Name
Kingsport Ambulatory Surgery Ctr
Credential
Provider Entity Type
Organization
Address
2204 Pavilion Drive, Kingsport, TN, 75254-2916
Phone Number
423-857-6300
Fax Number
423-857-6324
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100032523 01 PHP
170411602 05 TX
36001311 05 KY
A3766000 01 JOHN DEERE
227545 01 ANTHEM
3148953 01 BLUE CROSS
007603177 05 VA
091618800 05 FL
3288120 05 TN
7254600 01 CIGNA
institution
Provider Business Practice Location Address Details
Address
2204 Pavilion Drive
City
State
Zip
37660-4653
Phone Number
423-857-6300
Fax Number
423-857-6324
person
Provider Business Mailing Address Details
Address
2204 Pavilion Drive
City
State
Zip
37660-4653
Phone Number
423-857-6300
Fax Number
423-857-6324
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
0000000113 (Tennessee)
Definition
Definition to come...
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