Organization
ADVANCED ANESTHSIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEDDY T WINNEY JR. CRNA (OWNER)
(901) 647-1975
Entity
Organization
Contact information
Practice address
6133 POPLAR PIKE, MEMPHIS, TN 38119-4707
(901) 753-8370
Mailing address
P.O. BOX 1000 DEPT 339, MEMPHIS, TN 38118
(901) 753-8370
(901) 756-0714
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053544916
NPPES
TN
Enumeration date
09/29/2021
Last updated
09/29/2021
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