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Organization

GENESIS ANESTHESIA SERVICES, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT A HAMILTON CRNA (OWNER)
(615) 620-2320
Entity
Organization

Contact information

Practice address
1059 NEAL ST, SUITE B, COOKEVILLE, TN 38501-0946
(615) 620-2320
(615) 620-2323
Mailing address
PO BOX 291264, NASHVILLE, TN 37229-1264
(615) 620-2320
(615) 620-2323

Taxonomy

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

Other

Enumeration date
03/30/2011
Last updated
04/06/2011
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