Organization
UNION CITY ANESTHESIA GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH BIVENS (OFFICE MANAGER)
(731) 885-0787
Entity
Organization
Contact information
Practice address
1201 BISHOP ST, UNION CITY, TN 38261-5403
(731) 885-0787
(731) 885-0756
Mailing address
PO BOX 387, UNION CITY, TN 38281-0387
(731) 885-0787
(731) 885-0756
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
—
CD3105
RAILROAD MEDICARE
TN
Enumeration date
07/17/2007
Last updated
02/17/2009
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