Ahp of East Tennessee PLLC

Organization Active NPI Anesthesiology Physician · Kingsport, TN

NPI 1972777845 · NPPES record last updated Apr 22, 2008

Key facts

NPI
1972777845
Entity type
Organization (NPI type 2)
Primary specialty
Anesthesiology Physician 207L00000X
Legal business name
AHP OF EAST TENNESSEE PLLC
Practice address
10461 Wallace Alley St
Kingsport, TN 37663-3936
Phone
(423) 279-1400
NPI assigned
Apr 22, 2008
Organization subpart
No

Authorized official

Name
Greg Wachowiak
Title
Manager
Phone
(770) 945-5330

National Provider Directory

Locations

10461 Wallace Alley St
Kingsport, TN 37663
Phone (423) 279-1400

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
207L00000X Yes
Certified Registered Nurse Anesthetist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
367500000X

Addresses

Primary practice location

10461 Wallace Alley St
Kingsport, TN 37663-3936

Mailing address

3079 Peachtree Industrial Blvd
Duluth, GA 30097-2215

Other providers in Kingsport, TN

All providers in Kingsport, TN · Anesthesiology Physician in Tennessee

Sources for this page

Verify at the official NPI Registry.