Organization
MIDDLE TENNESSEE LOCUM SERVICES INC
Active
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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