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Individual

ALAN HETHCOAT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
975 E 3RD ST, CHATTANOOGA, TN 37403-2147
(423) 778-7608
Mailing address
170 BRADFORD VILLAGE WAY, KINGSTON, TN 37763-7009

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
208477
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
30330
TN

Other

Enumeration date
01/28/2021
Last updated
10/01/2021
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