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NPI Code Detail

MEDICARE: YORK COUNTY ANESTHESIA PC

MEDICARE: YORK COUNTY ANESTHESIA PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist
2207L00000XAnesthesiology Physician

General Provider Information

NPI Number : 1811554405
Entity Type Code : Organization
Provider Name (Legal Business Name) : YORK COUNTY ANESTHESIA PC
Provider Business Mailing Address
First Line : 401 COMMERCE ST STE 600
Second Line :
City : NASHVILLE
State : TN
Zip : 37219-2518
Country : US
Telephone Number : 615-345-6900
Fax Number :
Provider Business Practice Location Address
First Line : 164 GLENWOOD DR
Second Line :
City : ROCK HILL
State : SC
Zip : 29732-2865
Country : US
Telephone Number : 803-324-7607
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : TIMOTHY CORVINO
Credential : MD
Telephone Number : 615-345-6900
Provider Enumeration Date : 05/20/2019
Last Update Date : 05/20/2019

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Directions to “YORK COUNTY ANESTHESIA PC ” Practice Location

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