Organization
NORTHEAST TENNESSEE ANESTHESIA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE CARMELA MERRITT (PRACTICE ADMINSTRATOR)
(423) 279-1414
Entity
Organization
Contact information
Practice address
10461 WALLACE ALLEY DRIVE, KINGSPORT, TN 37663-3936
(423) 279-1414
(423) 279-1410
Mailing address
10461 WALLACE ALLEY DRIVE, KINGSPORT, TN 37663-3936
(423) 279-1414
(843) 357-4940
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
11/09/2011
Last updated
10/21/2022
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