Individual
WILLIAM MATTHEW HARGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1224 TROTWOOD AVE, COLUMBIA, TN 38401
(866) 612-5074
Mailing address
PO BOX 235022, MONTGOMERY, AL 36123
(866) 612-5074
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
16760
TN
Other
Enumeration date
08/30/2012
Last updated
02/23/2023
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