Provider Demographics
NPI:1205000999
Name:BAPTIST GYNECOLOGY & SURGERY CENTER
Entity Type:Organization
Organization Name:BAPTIST GYNECOLOGY & SURGERY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SUSANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:NELMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-549-4892
Mailing Address - Street 1:PO BOX 23740
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37933-1740
Mailing Address - Country:US
Mailing Address - Phone:865-549-4342
Mailing Address - Fax:865-549-4341
Practice Address - Street 1:434 2ND ST
Practice Address - Street 2:SUITE 202
Practice Address - City:NEWPORT
Practice Address - State:TN
Practice Address - Zip Code:37821-3704
Practice Address - Country:US
Practice Address - Phone:423-613-1670
Practice Address - Fax:423-613-1681
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTH VENTURES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center