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MARYVILLE ASC

Surgery Yellow Pages

Maryville, Tennessee

Provider NPI: 1073593109

Organization Information:
Organization Name:  MARYVILLE ASC


Practice Location:
1706 E LAMAR ALEXANDER PKWY  MARYVILLE, TN 37804 US
Tel: 865-983-0073  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QA1903XAmbulatory Health Care Facilities
Clinic/Center
Ambulatory Surgical
TN0000000001

Other Provider Identifiers:

IssuerNumberStateType
3287662TN05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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