Organization
MARYVILLE ANESTHESIOLOGISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL E COLEMAN MD (PRESIDENT)
(865) 983-7211
Entity
Organization
Contact information
Practice address
907 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5015
(865) 983-7211
(855) 917-2023
Mailing address
PO BOX 3181, INDIANAPOLIS, IN 46206-3181
(855) 381-0344
(800) 731-0751
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3378283
—
TN
05
—
3604498
—
TN
01
—
CL8433
RR
TN
Enumeration date
05/10/2006
Last updated
07/21/2022
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