Organization
AMERICAN ANESTHESIOLOGY GROUP OF TENNESSEE, P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCIS ABDOU MD (AUTHORIZED OFFICIAL)
(423) 224-3460
Entity
Organization
Contact information
Practice address
135 W RAVINE RD, STE 5-B, KINGSPORT, TN 37660-3847
(423) 224-3460
(423) 224-3465
Mailing address
135 W RAVINE RD STE 5-B, KINGSPORT, TN 37660-3847
(423) 224-3460
(423) 224-3465
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1374528
AAG BENEFIT PLAN ADMIN
—
05
—
3701197
—
TN
01
—
373565800
US DEPT OF LABOR-OWCP
—
01
—
7490409500
MEDICAID
KY
05
—
89020P
—
NC
01
—
CB1389
RAILROAD MEDICARE
—
Enumeration date
07/26/2005
Last updated
12/20/2019
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