RUSSELL EDWARD PROFFITT

CHATTANOOGA, TN
NPI1124440128
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TN  18164)
Enumeration Date2014-01-09
Last Update Date2024-12-13
Business Address
RUSSELL EDWARD PROFFITT CRNA
1651 GUNBARREL RD STE 102
CHATTANOOGA, TN 37421-3289
Phone number: 423-308-0390
Mailing Address
RUSSELL EDWARD PROFFITT CRNA
4976 ALPHA LN
HIXSON, TN 37343-5470
Phone number: 423-497-5355
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