Organization
WELLMONT HEALTH SYSTEM BRISTOL CRNA PROFESSIONAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE D DIXON CRNA (CHIEF CRNA)
(423) 968-4540
Entity
Organization
Contact information
Practice address
1 MEDICAL PARK BLVD, BRISTOL, TN 37620-7430
(423) 844-1121
Mailing address
350 BLOUNTVILLE HWY, SUITE 207, BRISTOL, TN 37620-0213
(423) 968-4540
(423) 968-5697
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
08/02/2006
Last updated
08/22/2020
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