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Individual

SUSAN L BATTLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
975 E THIRD ST, CHATTANOOGA, TN 37403-2147
(423) 778-7608
(423) 778-2360
Mailing address
PO BOX 11225, CHATTANOOGA, TN 37401-2225
(423) 892-5602
(423) 892-5838

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN131645
GA
163W00000X
Registered Nurse
RN77856
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN10683
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000739703B
GA
05
009902480
AL
01
3053442
BLUE CROSS BLUE SHIELD
TN
05
3624363
TN
01
430048629
RAILROAD MEDICARE
TN
05
8052082
NC
01
N358406
WELLCARE (GA MEDICAID)
GA
Enumeration date
11/24/2006
Last updated
01/26/2010
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