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PREMIER ANESTHESIA SERVICES PC NPI 1760593834


NPI Information

NPI: 1760593834
Provider Name: PREMIER ANESTHESIA SERVICES PC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
2000 BROOKSIDE DRIVE
SUITE 207
KINGSPORT, TN
ZIP 37660
Phone: (423) 239-5833
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PREMIER ANESTHESIA SERVICES PC is a specialist in Kingsport, TN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PREMIER ANESTHESIA SERVICES PC NPI is 1760593834. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2000 BROOKSIDE DRIVE
SUITE 207
KINGSPORT, TN
ZIP 37660-627
Phone: (423) 239-5833
Fax: (423) 239-9789

The provider's authorized official is Darryl Fontaine .
The authorized official title is President and has the following contact phone number (423) 239-5833.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 6/10/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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