Provider Demographics
NPI:1811137656
Name:AGBUNAG SURGERY ASSOCIATES, PLLC
Entity type:Organization
Organization Name:AGBUNAG SURGERY ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARNULFO
Authorized Official - Middle Name:A
Authorized Official - Last Name:AGBUNAG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-868-8612
Mailing Address - Street 1:PO BOX 486
Mailing Address - Street 2:
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37070-0486
Mailing Address - Country:US
Mailing Address - Phone:615-868-8612
Mailing Address - Fax:615-865-1463
Practice Address - Street 1:1114 GALLATIN PIKE N
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:TN
Practice Address - Zip Code:37115-2738
Practice Address - Country:US
Practice Address - Phone:615-868-8612
Practice Address - Fax:615-865-1463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-05
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty