Individual
STEPHANIE B DOTY
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) 602-8400
(423) 602-8401
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
RN161387
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN16180
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003116059A
—
GA
05
—
133675
—
AL
01
—
4308210
BLUECROSS BLUESHIELD OF TENNESSEE
TN
Enumeration date
09/15/2011
Last updated
04/04/2016
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