Individual
CALAN RAY FUQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
315 HOSPITAL DR, MADISON, TN 37115-5030
(615) 732-7671
Mailing address
1412 BEECH HOLLOW CT, NASHVILLE, TN 37211-8639
(615) 389-6626
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
205185
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
30987
TN
Other
Enumeration date
09/13/2021
Last updated
10/12/2023
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