| NPI | 1053404574 |
|---|---|
| Doing Business As | KINGSPORT DAY SURGERY |
| Entity Type | Organization |
| Authorized Contact | JENETHA D MORAN Officer/Authorized Official 972-763-3893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TN 0000000113) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-01-14 |