Healthcare Provider Details

I. General information

NPI: 1316952484
Provider Name (Legal Business Name): EAST TN ANESTHESIA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 MORRISON SPRINGS RD
CHATTANOOGA TN
37415-3401
US

IV. Provider business mailing address

625 MORRISON SPRINGS RD
CHATTANOOGA TN
37415-3401
US

V. Phone/Fax

Practice location:
  • Phone: 423-648-1145
  • Fax: 423-648-1146
Mailing address:
  • Phone: 423-648-1145
  • Fax: 423-648-1146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: CAROL HILE
Title or Position: PRESIDENT
Credential: CRNA
Phone: 423-648-1145