Organization
EAST TN ANESTHESIA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUMEET BUSHAN MD (PRESIDENT)
(423) 876-3526
Entity
Organization
Contact information
Practice address
1651 GUNBARREL RD, SUITE 102, CHATTANOOGA, TN 37421-3291
(423) 308-0292
Mailing address
255 W MICHIGAN AVE, P O BOX 1123, JACKSON, MI 49201-2218
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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