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Individual

MR. TIMOTHY SUTTON OCHS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA, APN

Contact information

Practice address
1236 KNOXVILLE HWY, WARTBURG, TN 37887-4200
(423) 346-6556
(423) 346-7541
Mailing address
PO BOX 965, HARRIMAN, TN 37748-0965
(865) 590-0933
(865) 590-0933

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
130201
TN
367500000X
Certified Registered Nurse Anesthetist
1326382
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3154746
BLUE SHIELD
TN
05
3630889
TN
01
430059007
RAILROAD MEDICARE
TN
Enumeration date
05/23/2005
Last updated
03/11/2008
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