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Individual

ANTHONY SCOTT SORRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1224 TROTWOOD AVE, COLUMBIA, TN 38401-4802
(931) 381-1111
Mailing address
PO BOX 235022, MONTGOMERY, AL 36123-5022
(866) 612-5074

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
13144
TN
367500000X
Certified Registered Nurse Anesthetist
3009782
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
K195394
MEDICARE
KY
Enumeration date
01/21/2008
Last updated
03/05/2020
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