Organization
HMA FENTRESS COUNTY GENERAL HOSPITAL INC
Active
Other names
Jamestown Regional CRNA
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY PARRY ESQ (SR VP AND GENERAL COUNSEL)
(239) 598-3111
Entity
Organization
Contact information
Practice address
436 CENTRAL AVE W, JAMESTOWN, TN 38556-3031
(931) 879-8171
Mailing address
PO BOX 803, JAMESTOWN, TN 38556-0803
(931) 879-8171
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0440083
—
TN
Enumeration date
06/24/2009
Last updated
06/24/2009
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