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Individual

JOHN C ASBURY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1114 W MADISON AVE, ATHENS, TN 37303-4150
(423) 745-1411
Mailing address
PO BOX 220, ATHENS, TN 37371-0220
(423) 424-3695

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN10532
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3629609
TN
01
4129410
BLUE CROSS BLUE SHIELD
TN
01
P00345273
RR MEDICARE
TN
Enumeration date
12/30/2005
Last updated
10/30/2007
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