CLARKSVILLE SURGICAL ASSOCIATES PLC NPI 1003973355

NPI Information

CLARKSVILLE SURGICAL ASSOCIATES, PLC is a clinic center in Clarksville, TN. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). CLARKSVILLE SURGICAL ASSOCIATES, PLC NPI is 1003973355. The provider is registered as an organization entity type.
The provider Other Name Is Veincare Centers Of Tennessee.

The provider's business location address is:

647 DUNLOP LANE
SUITE 100
CLARKSVILLE, TN
ZIP 37040-015
Phone: (931) 551-8991
Fax: (931) 551-4053

The provider's authorized official is Stephen Franklin Daugherty .
The authorized official title is Chief Officer and has the following contact phone number (931) 551-8991.

The CLIA number assigned to this NPI record is 44D2152963 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/3/2007 and was last updated on 11/17/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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