Provider Demographics
NPI:1477966687
Name:SAINT FRANCIS MEDICAL PARTNERS, GENERAL SURGERY, L.L.C.
Entity Type:Organization
Organization Name:SAINT FRANCIS MEDICAL PARTNERS, GENERAL SURGERY, L.L.C.
Other - Org Name:MEMPHIS SURGERY ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SVP OF OUTPATIENT SERVICES, TENET
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:KYLE
Authorized Official - Last Name:BURTNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-893-2153
Mailing Address - Street 1:PO BOX 742952
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-2952
Mailing Address - Country:US
Mailing Address - Phone:901-726-1056
Mailing Address - Fax:901-729-3100
Practice Address - Street 1:6029 WALNUT GROVE RD
Practice Address - Street 2:STE. 404
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120-2112
Practice Address - Country:US
Practice Address - Phone:901-726-1056
Practice Address - Fax:901-729-3100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-05
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
No208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal SurgeryGroup - Multi-Specialty