Organization
SYCAMORE SHOALS ANESTHESIA ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NYOKA JEAN HOLDER (OFFICE MANAGER BD SECY)
(423) 542-2738
Entity
Organization
Contact information
Practice address
922 WEST G STREET, ELIZABETHTON, TN 37643-2935
(423) 542-2738
(423) 542-2738
Mailing address
PO BOX 40, ELIZABETHTON, TN 37644-0040
(423) 542-2738
(423) 542-2738
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3703755
—
TN
Enumeration date
03/19/2007
Last updated
08/22/2020
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