Individual
CODY STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 MEDICAL CENTER BLVD, COOKEVILLE, TN 38501-4294
(931) 528-2541
Mailing address
606 BELLA CT, LEBANON, TN 37087-5027
(615) 613-5173
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
207191
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
32389
TN
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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