Basic Information
| Provider Information | |||||||||
| NPI: | 1568796845 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | WILLIAMS SURGERY CENTER, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1725 MEDICAL CENTER PKWY | ||||||||
| Address2: | SUITE 120 | ||||||||
| City: | MURFREESBORO | ||||||||
| State: | TN | ||||||||
| PostalCode: | 371292247 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6154941234 | ||||||||
| FaxNumber: | 6154941236 | ||||||||
| Practice Location | |||||||||
| Address1: | 1725 MEDICAL CENTER PKWY | ||||||||
| Address2: | SUITE 120 | ||||||||
| City: | MURFREESBORO | ||||||||
| State: | TN | ||||||||
| PostalCode: | 371292247 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6154941234 | ||||||||
| FaxNumber: | 6154941236 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/20/2009 | ||||||||
| LastUpdateDate: | 11/21/2011 | ||||||||
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| AuthorizedOfficialLastName: | WILLIAMS | ||||||||
| AuthorizedOfficialFirstName: | JANE | ||||||||
| AuthorizedOfficialMiddleName: | M | ||||||||
| AuthorizedOfficialTitleorPosition: | BUSINESS MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 6154941234 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QP1100X | Y | Ambulatory Health Care Facilities | Clinic/Center | Podiatric |
No ID Information.