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Organization

MIDDLE TENNESSEE LOCUM SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN MOORE CRNA (MANAGER)
(615) 702-7060
Entity
Organization

Contact information

Practice address
5404 HOOVER BLVD, STE 20, TAMPA, FL 33634-5333
(813) 287-5718
(813) 287-5728
Mailing address
PO BOX 116331, ATLANTA, GA 30368-6331
(813) 287-5718
(813) 287-5728

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary

Other

Enumeration date
10/23/2007
Last updated
11/09/2007
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