Healthcare Provider Details

I. General information

NPI: 1902282130
Provider Name (Legal Business Name): NASHVILLE GASTROINTESTINAL ANESTHESIA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2015
Last Update Date: 08/11/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2010 CHURCH ST SUITE 312
NASHVILLE TN
37203-2012
US

IV. Provider business mailing address

PO BOX 290124
NASHVILLE TN
37229-0124
US

V. Phone/Fax

Practice location:
  • Phone: 615-620-2320
  • Fax: 615-620-2323
Mailing address:
  • Phone: 615-620-2320
  • Fax: 615-620-2323

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: SCOTT ROBERTS
Title or Position: COO
Credential:
Phone: 615-620-2320