Individual
CAROLYN HEITHOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2341 MCCALLIE AVE, SUITE 402, CHATTANOOGA, TN 37404-3239
(423) 698-3309
(423) 624-6355
Mailing address
2341 MCCALLIE AVE, SUITE 402, CHATTANOOGA, TN 37404-3239
(423) 698-3309
(423) 624-6355
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN123800
TN
367500000X
Certified Registered Nurse Anesthetist
134141
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
APN19122
TN
Other
Enumeration date
06/24/2014
Last updated
02/12/2026
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