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NPI Code Detail

MEDICARE: HIGHLAND RIM ANESTHESIA, P.C.

MEDICARE: HIGHLAND RIM ANESTHESIA, P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician

General Provider Information

NPI Number : 1073554960
Entity Type Code : Organization
Provider Name (Legal Business Name) : HIGHLAND RIM ANESTHESIA, P.C.
Provider Business Mailing Address
First Line : PO BOX 402
Second Line :
City : TULLAHOMA
State : TN
Zip : 37388-0402
Country : US
Telephone Number : 877-732-3978
Fax Number : 770-238-3883
Provider Business Practice Location Address
First Line : 1801 N JACKSON ST
Second Line :
City : TULLAHOMA
State : TN
Zip : 37388-8259
Country : US
Telephone Number : 931-455-3649
Fax Number : 770-238-3883
Authorized Official
Title or Position : AUTHORIZED REPRESENTATIVE
Name : DESUNDRE A FRANK JR.
Credential : M.D.
Telephone Number : 931-455-3649
Provider Enumeration Date : 06/09/2006
Last Update Date : 09/19/2008

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Directions to “HIGHLAND RIM ANESTHESIA, P.C. ” Practice Location

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