Individual
RUSSELL EDWARD PROFFITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1651 GUNBARREL RD STE 102, CHATTANOOGA, TN 37421-3289
(423) 308-0390
(423) 308-0393
Mailing address
4976 ALPHA LN, HIXSON, TN 37343-5470
(423) 497-5355
(423) 308-0281
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
18164
TN
Other
Enumeration date
01/09/2014
Last updated
12/13/2024
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