Healthcare Provider Details

I. General information

NPI: 1942236922
Provider Name (Legal Business Name): ANESTHESIA SPECIALTY ASSOCIATES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2006
Last Update Date: 09/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2835 HIGHWAY 231 N
SHELBYVILLE TN
37160-7327
US

IV. Provider business mailing address

PO BOX 440352
NASHVILLE TN
37244-0352
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: MR. JERRY L SHERRILL
Title or Position: PARTNER
Credential: CRNA
Phone: 615-620-2320