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NPI Code Detail

MEDICARE: ARKANSAS RED ANESTHESIA

MEDICARE: ARKANSAS RED ANESTHESIA
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
1367500000XCertified Registered Nurse AnesthetistAPN0000010344TN

General Provider Information

NPI Number : 1225307507
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARKANSAS RED ANESTHESIA
Provider Business Mailing Address
First Line : PO BOX 333
Second Line :
City : SAVANNAH
State : TN
Zip : 38372-0333
Country : US
Telephone Number : 870-733-4086
Fax Number :
Provider Business Practice Location Address
First Line : 935 WAYNE RD
Second Line :
City : SAVANNAH
State : TN
Zip : 38372-1904
Country : US
Telephone Number : 731-926-8279
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : ROBERT E BROOKS
Credential : CRNA
Telephone Number : 870-733-4086
Provider Enumeration Date : 12/15/2011
Last Update Date : 12/15/2011

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Directions to “ARKANSAS RED ANESTHESIA ” Practice Location

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