Organization
REGIONAL ANESTHESIA SERVICES PLLC
Active
Organization
REGIONAL ANESTHESIA SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL G SCARA M.D. (PRESIDENT)
(800) 228-0249
Entity
Organization
Contact information
Practice address
400 E TICKLE ST, DYERSBURG, TN 38024-3120
(800) 228-0249
(252) 222-3602
Mailing address
PO BOX 39, MOREHEAD CITY, NC 28557-0039
(800) 228-0249
(252) 222-3602
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD014363
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3709759
—
TN
01
—
4052744
BLUE CROSS
TN
Enumeration date
09/26/2006
Last updated
08/22/2020
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