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Organization

UAP CHATTANOOGA PAIN, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRADLEY S. KELLER CRNA (OFFICER/AUTHORIZED OFFICIAL)
(423) 933-8596
Entity
Organization

Contact information

Practice address
1016 EXECUTIVE DR, HIXSON, TN 37343-3995
(423) 648-4525
(423) 648-4626
Mailing address
1016 EXECUTIVE DR, HIXSON, TN 37343-3995
(615) 376-7550
(615) 329-6290

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary

Other

Enumeration date
06/04/2012
Last updated
12/29/2016
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