Individual
ROBERT A SMALLWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2341 MCCALLIE AVE, SUITE 402, CHATTANOOGA, TN 37404-3239
(423) 698-3309
(423) 624-6355
Mailing address
PO BOX 3549, CHATTANOOGA, TN 37404-0549
(423) 698-3309
(423) 624-6355
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN14664
TN
367500000X
Certified Registered Nurse Anesthetist
RN133227
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1517874
—
TN
01
—
4248955
BCBS OF TN
TN
05
—
795789241A
—
GA
05
—
795789241B
—
GA
05
—
795789241C
—
GA
05
—
795789241D
—
GA
05
—
795789241E
—
GA
01
—
P00816609
RAILROAD MEDICARE
—
Enumeration date
01/11/2010
Last updated
08/16/2010
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