Organization
MID SOUTH ANESTHESIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ALAN DAVENPORT SR. CRNA, MS, APN (PRES)
(615) 444-2320
Entity
Organization
Contact information
Practice address
322 22ND AVE N, NASHVILLE, TN 37203-1842
(615) 444-2320
(615) 547-9845
Mailing address
PO BOX 5000, LEBANON, TN 37088-5000
(615) 444-2320
(615) 547-9845
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0000058326
TN
Other
Enumeration date
01/11/2011
Last updated
09/14/2016
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