Organization
ANESTHESIA MEDICAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID G WHITTEN (CEO)
(615) 327-4304
Entity
Organization
Contact information
Practice address
110 29TH AVE N STE 202, NASHVILLE, TN 37203-1448
(615) 327-4304
Mailing address
110 29TH AVE N STE 202, NASHVILLE, TN 37203-1448
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3604122
—
TN
05
—
74903824
—
KY
Enumeration date
02/25/2008
Last updated
02/25/2008
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