# ANESTHESIA MEDICAL GROUP, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417225897
- **Authorized official:** MR. DAVID G. WHITTEN (CEO)
- **Authorized official phone:** (615) 327-4304

## Contact information

- **Practice address:** 110 29TH AVE N, SUITE 301, NASHVILLE, TN 37203-1401
- **Practice address phone:** (615) 327-4304
- **Practice address fax:** (615) 327-7940
- **Mailing address:** 110 29TH AVE N, SUITE 301, NASHVILLE, TN 37203-1401
- **Mailing address phone:** (615) 327-4304
- **Mailing address fax:** (615) 327-7940

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 225400000X | Rehabilitation Practitioner | — | NULL | — |
| 225400000X | Rehabilitation Practitioner | — | — | — |

## Other

- **Enumeration date:** 12/13/2011
- **Last updated:** 10/19/2012