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STANLEY C. PITTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
975 E. THIRD STREET, CHATTANOOGA, TN 37403-2147
(423) 478-7608
(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
RN108491
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN10063
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
109609
AL
05
1512185
TN
01
4216398
BLUE CROSS BLUE SHIELD OF TN
TN
05
573866719C
GA
05
8053518
NC
Enumeration date
11/10/2005
Last updated
08/04/2010
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