Individual
STEVEN WAYNE BOHR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2512 ARBOR MIST TRL, HIXSON, TN 37343-4537
(423) 875-6500
Mailing address
2512 ARBOR MIST TRL, HIXSON, TN 37343-4537
(423) 875-6500
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
RN142861
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
9156
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000789478C
—
GA
05
—
000789478D
—
GA
01
—
P00211515
RAILROAD MEDICARE
GA
Enumeration date
05/31/2006
Last updated
02/16/2010
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