Organization
SEVIER ANESTHESIA ASSOCIATES, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN JEFF MILLS CRNA (PROVIDER)
(952) 442-9770
Entity
Organization
Contact information
Practice address
709 MIDDLE CREEK RD, SEVIERVILLE, TN 37862-5047
(865) 429-6609
Mailing address
400 E 10TH ST, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3630
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3620339
—
TN
01
—
TN0100
BLUE CROSS OF TENNESSEE
TN
Enumeration date
10/24/2005
Last updated
08/22/2008
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