Healthcare Provider Details

I. General information

NPI: 1871258566
Provider Name (Legal Business Name): ANESTHESIOLOGY ASSOCIATES OF TENNESSEE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2021
Last Update Date: 11/08/2021
Certification Date: 11/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

256 FORT SANDERS WEST BLVD BLDG 8
KNOXVILLE TN
37922-3355
US

IV. Provider business mailing address

3735 GLENLAKE DR STE 250
CHARLOTTE NC
28208-6866
US

V. Phone/Fax

Practice location:
  • Phone: 704-749-5800
  • Fax: 704-626-3272
Mailing address:
  • Phone: 704-749-5800
  • Fax: 704-626-3272

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. KEVIN A CROSBY
Title or Position: PRESIDENT
Credential: MD
Phone: 704-749-5800