ET
EAST TENNESSEE AMBULATORY SURGERY CENTER LLC
Adult Day Care
OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
JOHNSON CITY, TN
Licensed since
2005
Rate
—
Federal identifiers
NPI registry number1659360071
Agency details
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients268
RevalidationDue 2024-10-31
Authorized official
NameJIM BRANTNER
TitleMEDICAL DIRECTOR
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