Organization Name:  PHYSICIAN'S SURGERY CENTER OF KNOXVILLE LLC


Practice Location:
1819 CLINCH AVE STE 206 KNOXVILLE, TN 37916 US
Tel: 865-522-2949  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	0000000028

Other Provider Identifiers:

Issuer	Number	State	Type
	3288258	TN	05

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