CHUKWUOGO SURGERY CLINIC - NPI 1558908632 - Clinic/Center in Waverly, TN

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261Q00000X.

On this page

About Chukwuogo Surgery Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHUKWUOGO SURGERY CLINIC (NPI 1558908632) is a healthcare organization registered as a clinic/center in Waverly, Tennessee and active in the NPI registry since December 2019. The organization lists Lisa Kay Page, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1558908632

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameMOREHOUSE OUACHITA SURGERY ASSOCIATES

Location Address451 HIGHWAY 13 SWaverly, TN 37185-2109

Mailing Address631 Rb Wilson Dr Ste 2Huntingdon, TN 38344-1727 · (731) 535-3099 · Fax (731) 535-3123

Phone(731) 535-3099

Fax(731) 535-3123

Organization SubpartYes

Authorized OfficialLisa Kay PageCredentialing Manager · (731) 693-3465

Enumeration DateDecember 7, 2019

Last NPPES UpdateDecember 9, 20192 updates tracked since enumeration

✔ NPI 1558908632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

451 HIGHWAY 13 S, Waverly, TN 37185

Open in Google Maps ↗