Organization
SURGERY CENTER ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVIA EVANS CRNA (PRESIDENT)
(573) 686-5550
Entity
Organization
Contact information
Practice address
207 STONEBRIDGE BLVD, JACKSON, TN 38305-2040
(573) 686-5550
Mailing address
2 QUAIL CREEK DR, JACKSON, TN 38305-8866
(573) 686-5550
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09367
RR MEDICARE GROUP
TN
01
—
3012913
BCBS TN GROUP
TN
01
—
3021400
TN BCBS
TN
05
—
3605893
—
TN
05
—
3623620
—
TN
01
—
CA6103
RR MEDICARE
TN
Enumeration date
09/20/2005
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us