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Individual

MEREDITH H BROOME

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
975 E THIRD STREET, CHATTANOOGA, TN 37403-2147
(423) 778-7608
(423) 778-2360
Mailing address
PO BOX 11225, CHATTANOOGA, TN 37401-2225
(423) 892-5602
(423) 892-5838

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
166286
TN
163W00000X
Registered Nurse
R870057
MS
367500000X
Certified Registered Nurse Anesthetist
Primary
13591
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
107992
AL
05
1509501
TN
01
4187051
BLUE CROSS BLUE SHIELD TN
TN
05
787232679A
GA
05
8053530
NC
01
N491198
WELLCARE (GA MEDICAID)
GA
01
P00744541
RAILROAD MEDICARE
TN
Enumeration date
07/22/2008
Last updated
05/11/2010
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