Organization
T M ANESTHESIA ASSOC. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS MICHAEL YARBRO CRNA (PRESIDENT)
(901) 377-5546
Entity
Organization
Contact information
Practice address
109 EUREKA ST, 109 MEDICAL ARTS BLDG. SUITE B, BATESVILLE, MS 38606
(662) 563-7728
Mailing address
PO BOX 280604, MEMPHIS, TN 38168-0604
(901) 377-5546
(901) 377-5546
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09010576
—
MS
Enumeration date
12/08/2006
Last updated
08/22/2020
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