Individual
ALAN S. GREENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-2102
(615) 936-2000
Mailing address
3841 GREEN HILLS VILLAGE DR, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
31846
TN
367500000X
Certified Registered Nurse Anesthetist
RN123966
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000932874A
PEACHSTATE CMO - MCCG
GA
05
—
000932874A
—
GA
05
—
000932874C
—
GA
01
—
344323
WELLCARE CMO - MCCG
GA
01
—
430067623
RAILROAD MCR - MCCG
GA
Enumeration date
09/29/2006
Last updated
10/24/2022
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