Organization
ANESTHESIA MEDICAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK FORREST (MD)
(615) 327-4304
Entity
Organization
Contact information
Practice address
110 29TH AVE N, STE 301, NASHVILLE, TN 37203
(615) 327-4304
(615) 327-5435
Mailing address
110 29TH AVE N, STE 301, NASHVILLE, TN 37203-1448
(615) 327-4304
(615) 327-5435
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
363L00000X
Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
367H00000X
Anesthesiologist Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3372977
—
TN
05
—
3604122
—
TN
05
—
529402690
—
AL
05
—
65910465
—
KY
05
—
710051600
—
KY
05
—
7100516010
—
KY
05
—
74903824
—
KY
Enumeration date
06/15/2005
Last updated
07/30/2024
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