Upper Cumberland Anesthesia Associates, PC
Anesthesiology, Pain Medicine in Cookeville, TN. Organization (NPI-2).
NPI number1710919980
StatusActive
Last updated in NPPESApr 14, 2020
Details
- NPI
- 1710919980
- Entity type
- Organization (NPI-2)
- Legal business name
- Upper Cumberland Anesthesia Associates, PC
- Organization subpart
- No
- Enumeration date
- Jul 7, 2006
- Certification date
- Apr 14, 2020
- Last updated
- Apr 14, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207LP2900X | Anesthesiology, Pain Medicine | – | – | Yes |
| 367500000X | Nurse Anesthetist, Certified Registered | – | – |
Practice location
1 Medical Center BlvdCookeville, TN 38501-4294
Phone 931-528-5587
Mailing address
Po Box 280Cookeville, TN 38503-0280
Phone 931-528-7877
Other practice locations
Authorized official
Robert Harrison Landry
President
9315287877
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