Individual
MR. THOMAS JUSTIN CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2525 DESALES AVE, CHATTANOOGA, TN 37404-1161
(423) 495-2525
Mailing address
1139 LAKESIDE CIR, HIXSON, TN 37343-1585
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
185646
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
119069
TN
367500000X
Certified Registered Nurse Anesthetist
3825
GA
Other
Enumeration date
11/20/2017
Last updated
02/04/2026
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