Organization
LIFELINC ANESTHESIA III, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC CALLAN CRNA (CEO, OWNER)
(901) 844-1590
Entity
Organization
Contact information
Practice address
716 W BROOKHAVEN CIR, MEMPHIS, TN 38117-4504
(901) 844-1590
(901) 844-1592
Mailing address
716 W BROOKHAVEN CIR, MEMPHIS, TN 38117-4504
(901) 844-1590
(901) 844-1592
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
06/11/2015
Last updated
06/11/2015
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