Organization
ANESTHESIA MEDICAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID G. WHITTEN (CEO)
(615) 327-4304
Entity
Organization
Contact information
Practice address
110 29TH AVE N, SUITE 301, NASHVILLE, TN 37203-1401
(615) 327-4304
(615) 327-7940
Mailing address
110 29TH AVE N, SUITE 301, NASHVILLE, TN 37203-1401
(615) 327-4304
(615) 327-7940
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3372977
—
TN
05
—
3604122
—
TN
Enumeration date
12/13/2011
Last updated
10/19/2012
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