Organization
RESOURCE ANESTHESIA LAKEWAY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL RENEE MCMILLAN (CREDENTIALS MANAGER)
(865) 777-0909
Entity
Organization
Contact information
Practice address
639 PENNTON AVE SW, LENOIR, NC 28645-5743
(828) 572-1770
(865) 777-0910
Mailing address
12752 KINGSTON PIKE, SUITE E202, KNOXVILLE, TN 37934-0948
(865) 777-0909
(865) 777-0910
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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