PHYSICIANS PAVILION LP
Surgery Yellow Pages
Smyrna, Tennessee
Provider NPI: 1427055425
Organization Information:Organization Name: PHYSICIANS PAVILION LP
Practice Location:
545 STONECREST PKWY SMYRNA, TN 37167 US
Tel: 615-220-3720 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
545 STONECREST PKWY SMYRNA, TN 37167 US
Tel: 615-220-3720 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | TN | 0000000065 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
3287552 | TN | 05 | |
RAILROAD MEDICARE | 490002245 | TN | 01 |
BLUE CROSS PROVIDER NUMBE | 1000923 | TN | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin