South Fork Anesthesia Associates, Pllc
NPI #1427631290 in Jonesborough, Tennessee
Provider Information
- NPI Number
- 1427631290
- Entity Type
- Organization
- Organization Name
- South Fork Anesthesia Associates, Pllc
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Apr 29, 2021
- Last Updated
- Jun 25, 2021
Practice Location
- Address
- 107 QUAIL RIDGE WAY
- City
- Jonesborough
- State
- Tennessee
- ZIP Code
- 37659-4166
- Phone
- (865) 310-6371
Authorized Official
- Name
- MR. KEVIN C JESSEE, CRNA
- Title
- OWNER
- Phone
- (865) 310-6371
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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