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RIVERSIDE SURGERY CENTER, LLC

Surgery Yellow Pages

Dyersburg, Tennessee

Provider NPI: 1396713202

Organization Information:
Organization Name:  RIVERSIDE SURGERY CENTER, LLC


Practice Location:
420 WILKINSON DR  DYERSBURG, TN 38024 US
Tel: 731-285-2010  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QA1903XAmbulatory Health Care Facilities
Clinic/Center
Ambulatory Surgical
TN0000000087

Other Provider Identifiers:

IssuerNumberStateType
3287901TN05
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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