Individual
AMANDA SUZANNE GAITHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
350 BLOUNTVILLE HWY, SUITE 207, BRISTOL, TN 37620-0213
(423) 968-4540
(423) 968-5697
Mailing address
1009 LARK ST STE 2, JOHNSON CITY, TN 37604-8218
(423) 283-0776
(423) 968-5697
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
158924
TN
Other
Enumeration date
07/17/2007
Last updated
04/24/2019
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