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NPI Code Detail

MEDICARE: EAST TN ANESTHESIA INC

MEDICARE: EAST TN ANESTHESIA INC
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 Anesthetist

General Provider Information

NPI Number : 1316952484
Entity Type Code : Organization
Provider Name (Legal Business Name) : EAST TN ANESTHESIA INC
Provider Business Mailing Address
First Line : 625 MORRISON SPRINGS RD
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37415-3401
Country : US
Telephone Number : 423-648-1145
Fax Number : 423-648-1146
Provider Business Practice Location Address
First Line : 625 MORRISON SPRINGS RD
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37415-3401
Country : US
Telephone Number : 423-648-1145
Fax Number : 423-648-1146
Authorized Official
Title or Position : PRESIDENT
Name : CAROL HILE
Credential : CRNA
Telephone Number : 423-648-1145
Provider Enumeration Date : 07/29/2006
Last Update Date : 08/22/2020

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Directions to “EAST TN ANESTHESIA INC ” Practice Location

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