Healthcare Provider Details

I. General information

NPI: 1982765111
Provider Name (Legal Business Name): ATTENTUS OF SCOTT COUNTY,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 02/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18797 ALBERTA ST
ONEIDA TN
37841-2127
US

IV. Provider business mailing address

PO BOX 404803
ATLANTA GA
30384-4803
US

V. Phone/Fax

Practice location:
  • Phone: 423-569-8521
  • Fax: 423-569-2897
Mailing address:
  • Phone: 423-569-8521
  • Fax: 423-569-2897

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: BILL DUNCAN
Title or Position: CFO
Credential:
Phone: 423-569-8521