Individual
MR. BRYAN T AFFOLTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
924 SPRING CREEK RD, CHATTANOOGA, TN 37412-3910
(423) 899-1600
(423) 899-2171
Mailing address
PO BOX 11114, CHATTANOOGA, TN 37401-2114
(423) 899-1600
(423) 892-2171
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN11209
TN
367500000X
Certified Registered Nurse Anesthetist
RN102072
TN
367500000X
Certified Registered Nurse Anesthetist
RN153379
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3141447
BCBS
TN
05
—
3629459
—
TN
Enumeration date
02/22/2006
Last updated
08/27/2008
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