Healthcare Provider Details

I. General information

NPI: 1366517609
Provider Name (Legal Business Name): RAYMOND FRANK ALONGE JR. CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: RAY ALONGE CRNA

II. Dates (important events)

Enumeration Date: 11/22/2006
Last Update Date: 02/04/2026
Certification Date: 02/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 DESALES AVE
CHATTANOOGA TN
37404-1161
US

IV. Provider business mailing address

5933 RILEY RD
OOLTEWAH TN
37363-6889
US

V. Phone/Fax

Practice location:
  • Phone: 423-495-2525
  • Fax: 423-495-6312
Mailing address:
  • Phone: 423-838-0783
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number10653
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number5360A
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number193541
License Number StateGA
# 4
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number5694225
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: