Individual
MR. SAMUEL RAYMOND NORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
436 CENTRAL AVENUE WEST, JAMESTOWN, TN 38556-8407
(931) 879-3242
Mailing address
426 LEONARD SMITH RD, CLARKRANGE, TN 38553-5036
(931) 863-5444
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
021538
TN
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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