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Organization

NORTHSTAR ANESTHESIA OF TENNESSEE, PLLC

Active
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Organization

NORTHSTAR ANESTHESIA OF TENNESSEE, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PHILIP W EICHENHOLZ MD (CHAIRMAN/CEO)
(817) 861-3994
Entity
Organization

Contact information

Practice address
1559 SPARTA ST, MCMINNVILLE, TN 37110-1316
(817) 861-3994
Mailing address
PO BOX 610251, DALLAS, TX 75261-0251
(239) 610-0775

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
TN

Other

Enumeration date
12/02/2010
Last updated
05/25/2021
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