BRADLEY S AVANS

KINGSPORT, TN
NPI1306808530
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TN  11668)
Enumeration Date2006-04-04
Last Update Date2014-04-21
Business Address
-- BRADLEY S AVANS CRNA
130 W RAVINE RD
KINGSPORT, TN 37660-3837
Phone number: 423-224-4000
Mailing Address
-- BRADLEY S AVANS CRNA
105 W STONE DR SUITE 6A
KINGSPORT, TN 37660-3365
Phone number: 423-408-7220
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