NPI | 1811957251 |
---|---|
Doing Business As | SURGERY CENTER OF CENTRALIA |
Entity Type | Organization |
Authorized Contact | JEFFREY L STOCKARD VP COO 615-377-5353 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2006-03-27 |
Last Update Date | 2020-08-22 |