| NPI | 1366422370 |
|---|---|
| Doing Business As | WOLF RIVER SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | SHERRYE B CRONE Administrator 901-516-1716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TN 0000000134) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TN 134) |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2012-02-01 |