Organization
ANESTHESIA AND PAIN CONSULTANTS,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PARRY QUALLS (BUSINESS MANAGER)
(423) 283-0776
Entity
Organization
Contact information
Practice address
1009 LARK ST STE 2, JOHNSON CITY, TN 37604-8218
(423) 283-0776
(423) 283-0549
Mailing address
1009 NOVUS DR STE 2, JOHNSON CITY, TN 37604-8237
(423) 283-0776
(423) 283-0549
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3624610
—
TN
05
—
3708989
—
TN
Enumeration date
08/03/2006
Last updated
07/27/2021
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