Organization
OAKHAVEN ANESTHESIA SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAN ANDRIES HERHOLDT MBCHB (MD) (DOCTOR/OWNER)
(931) 644-2120
Entity
Organization
Contact information
Practice address
1 MEDICAL CENTER BLVD, COOKEVILLE, TN 38501-4294
(931) 644-2120
Mailing address
DEPT 888238, KNOXVILLE, TN 37995-8238
(931) 644-2120
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
27789
TN
Other
Enumeration date
12/19/2012
Last updated
05/01/2014
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