Healthcare Provider Details

I. General information

NPI: 1235549825
Provider Name (Legal Business Name): VIGILANCE ANESTHESIA SOLUTIONS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2014
Last Update Date: 05/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

922 W G ST
ELIZABETHTON TN
37643-2935
US

IV. Provider business mailing address

922 W G ST
ELIZABETHTON TN
37643-2935
US

V. Phone/Fax

Practice location:
  • Phone: 423-542-2738
  • Fax:
Mailing address:
  • Phone: 423-542-2738
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID PAUL MAY
Title or Position: DIRECTOR
Credential: M.D.
Phone: 423-542-2738