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Organization

DYERSBURG HOSPITAL COMPANY LLC

Active
Other names
Dyersburg Hospital Anesthesia
Organization subpart
No

Provider details

NPI number
Authorized official
DEBBIE T BREWER MBA (PROVIDER ENROLLMENT DIRECTOR)
(615) 465-7626
Entity
Organization

Contact information

Practice address
400 E TICKLE ST, DYERSBURG, TN 38024-3120
(731) 285-2410
Mailing address
PO BOX 100112, ATLANTA, GA 30384-0112
(660) 826-5960
(660) 826-4852

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
367500000X
Certified Registered Nurse Anesthetist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3250209
TN
Enumeration date
05/06/2006
Last updated
09/15/2017
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