Organization
ANESTHESIA SPECIALTY ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY L SHERRILL CRNA (PARTNER)
(615) 620-2320
Entity
Organization
Contact information
Practice address
2835 HIGHWAY 231 N, SHELBYVILLE, TN 37160-7327
(615) 620-2320
(615) 620-2323
Mailing address
PO BOX 440352, NASHVILLE, TN 37244-0352
(615) 620-2320
(615) 620-2323
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01032946
AMERIGROUP TENNCARE ONLY - PAR
TN
05
—
3723500
—
TN
01
—
DB4224
RR MEDICARE-PALMETTO GBA
TN
Enumeration date
06/23/2006
Last updated
09/23/2010
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