Organization
GILES COUNTY ANESTHESIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENRIQUE MOLINA CRNA (PARTNER)
(615) 620-2320
Entity
Organization
Contact information
Practice address
1265 E COLLEGE ST, PULASKI, TN 38478-4541
(931) 363-7531
Mailing address
PO BOX 440401, NASHVILLE, TN 37244-0401
(615) 620-2320
(615) 620-2323
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3627394
—
TN
01
—
4008583
BLUE CROSS/BLUE SHIELD OF TN
TN
Enumeration date
10/27/2006
Last updated
06/02/2010
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