Organization
TUCKER ANESTHESIA SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM T TUCKER CRNA (OWNER)
(615) 620-2320
Entity
Organization
Contact information
Practice address
105 REDBUD DR, PORTLAND, TN 37148-1673
(615) 620-2321
(615) 620-2323
Mailing address
PO BOX 291264, NASHVILLE, TN 37229-1264
(615) 620-2321
(615) 620-2323
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
08/11/2006
Last updated
08/22/2020
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