Organization
TRAIL OF THE CUMBERLANDS ANESTHESIA ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY F RENDER CRNA (CFO)
(423) 349-4314
Entity
Organization
Contact information
Practice address
1850 OLD KNOXVILLE HWY, CLAIBORNE COUNTY HOSPITAL, TAZEWELL, TN 37879
(423) 626-4211
Mailing address
675 COX HOLLOW RD, TRAIL OF THE CUMBERLANDS ANESTHESIA ASSOCIATES, KINGSPORT, TN 37663-3150
(423) 349-4319
(423) 349-0799
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3629220
—
TN
Enumeration date
08/01/2006
Last updated
08/22/2020
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