Organization
ASCENT ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN L BENNETT CRNA (SOLE MEMBER)
(423) 899-9080
Entity
Organization
Contact information
Practice address
1821 N WASHINGTON ST, TULLAHOMA, TN 37388-2221
(423) 899-9080
Mailing address
44 CEDAR CREEK CT, MCMINNVILLE, TN 37110-7861
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
06/29/2021
Last updated
09/08/2021
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