Organization
QUALITY CARE ANESTHESIA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM CUMMINS CRNA (OWNER)
(423) 364-6166
Entity
Organization
Contact information
Practice address
4602 CHESTNUT AVE, SIGNAL MOUNTAIN, TN 37377-3405
(423) 364-6166
Mailing address
PO BOX 292, SIGNAL MOUNTAIN, TN 37377-0292
(423) 364-6166
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
14343
TN
Other
Enumeration date
01/08/2016
Last updated
01/08/2016
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