Organization
CHATTANOOGA ANESTHESIA FOR OUTPATIENT SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE H AMEREDES DO (PRESIDENT)
(859) 268-1030
Entity
Organization
Contact information
Practice address
400 N HOLTZCLAW AVE, CHATTANOOGA, TN 37404-1916
(423) 698-6871
Mailing address
425 LEWIS HARGETT CIR, LEXINGTON, KY 40503-3590
(859) 268-1030
(859) 269-4120
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
07/22/2006
Last updated
03/01/2013
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