| NPI | 1114114352 |
|---|---|
| Doing Business As | OAKWATER SURGICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | BILLIE A PAYNE President Of The LLC 615-665-1283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2009-04-21 |