Healthcare Provider Details
I. General information
NPI: 1487106977
Provider Name (Legal Business Name): ANESTHESIA SERVICES ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/31/2016
Last Update Date: 03/30/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2400 PATTERSON ST STE 217B
NASHVILLE TN
37203-1562
US
IV. Provider business mailing address
PO BOX 440210
NASHVILLE TN
37244-0210
US
V. Phone/Fax
- Phone: 615-321-4617
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PETER
KROLL
Title or Position: CEO
Credential: MD
Phone: 615-824-3737