Organization
ANESTHESIA CARE OF TULLAHOMA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN M GILES (OWNER)
(931) 454-9810
Entity
Organization
Contact information
Practice address
106 W BLACKWELL ST, TULLAHOMA, TN 37388-3556
(931) 454-9810
(931) 393-1020
Mailing address
PO BOX 415000-MSC8337, NASHVILLE, TN 37241-8337
(865) 670-6199
(865) 670-6198
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
INDIVIDUAL PRACTIONE
TN
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
06/13/2006
Last updated
04/01/2022
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