Organization
PARAGON ANESTHESIA PC
Active
Other names
Bristol Anesthesia Services, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
PARRY QUALLS (CEO)
(423) 390-0450
Entity
Organization
Contact information
Practice address
10415 WALLACE ALLEY ST, KINGSPORT, TN 37663-3936
(423) 390-0451
(423) 968-5697
Mailing address
10415 WALLACE ALLEY ST, KINGSPORT, TN 37663-3936
(423) 390-0451
(423) 212-0580
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
07/31/2006
Last updated
07/05/2023
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