Individual
GREGORY F MOTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
185 HOSPITAL RD, WINCHESTER, TN 37398-2404
(931) 962-4061
(931) 962-3343
Mailing address
66 SUNRISE PARK, WINCHESTER, TN 37398-2345
(931) 962-4061
(931) 962-3343
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1-027875
AL
367500000X
Certified Registered Nurse Anesthetist
AANA030545
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN9030
TN
367500000X
Certified Registered Nurse Anesthetist
RN48452
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0098646
BC/BS OF TN
TN
05
—
051555625
—
AL
01
—
3605800
MEDICAID OF TN
TN
01
—
3605803
MEDICARE OF TN
TN
01
—
51526481
BCBS #
AL
Enumeration date
07/28/2006
Last updated
11/03/2011
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