| NPI | 1598966343 |
|---|---|
| Doing Business As | CRESTVIEW SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | JENNIFER L JACKSON Sr Dir Onboarding & Prov Enrollment 615-465-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: FL 4298) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 4298) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2022-03-18 |