Organization
PRIME ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN HURT (OWNER)
(423) 503-9003
Entity
Organization
Contact information
Practice address
1304 MCCALLIE AVE, CHATTANOOGA, TN 37404-2933
(423) 622-7212
Mailing address
PO BOX 2116, COLLEGEDALE, TN 37315-2116
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
10/10/2018
Last updated
08/25/2020
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