Individual
MR. CURTIS TIMOTHY MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2341 MCCALLIE AVE, SUITE 402, CHATTANOOGA, TN 37404-3239
(423) 698-3309
(423) 624-6355
Mailing address
2341 MCCALLIE AVE, SUITE 402, CHATTANOOGA, TN 37404-3239
(423) 698-3309
(423) 624-6355
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
133506
TN
163W00000X
Registered Nurse
9312515
FL
367500000X
Certified Registered Nurse Anesthetist
92445
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APN17616
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1532135
—
TN
01
—
4348852
BC BS OF TN
TN
Enumeration date
03/15/2013
Last updated
09/23/2013
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