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Individual

ANDREW POLATTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
8000 WOLF RIVER BLVD STE 200, GERMANTOWN, TN 38138-1755
(901) 747-3630
Mailing address
PO BOX 381468, GERMANTOWN, TN 38183-1468

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
14188
TN
367500000X
Certified Registered Nurse Anesthetist
901862
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1513954
TN
Enumeration date
06/23/2009
Last updated
02/10/2026
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