EAST TENNESSEE ANESTHESIA PROVIDERS, PC

KINGSPORT, TN
NPI1669584991
Entity TypeOrganization
Authorized ContactVIKTOR P SULKOWSKI
Owner
423-854-0001
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: TN  MD0000010318)
Enumeration Date2006-08-31
Last Update Date2011-10-21
Business Address
EAST TENNESSEE ANESTHESIA PROVIDERS, PC
10461 WALLACE ALLEY ST
KINGSPORT, TN 37663-3936
Phone number: 423-279-1400
Mailing Address
EAST TENNESSEE ANESTHESIA PROVIDERS, PC
3101 BROWNS MILL RD STE 6 PMB 386
JOHNSON CITY, TN 37604-4100
Phone number: 423-854-0001
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