Provider Demographics
NPI:1487686895
Name:LYNN H JONES MID SOUTH ANESTHESIA
Entity Type:Organization
Organization Name:LYNN H JONES MID SOUTH ANESTHESIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF ANESTHETIST
Authorized Official - Prefix:MR
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:H
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:615-643-2706
Mailing Address - Street 1:PO BOX 340
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:TN
Mailing Address - Zip Code:37172-0340
Mailing Address - Country:US
Mailing Address - Phone:615-643-2706
Mailing Address - Fax:615-643-2706
Practice Address - Street 1:100 NORTHCREST DR
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:TN
Practice Address - Zip Code:37172-3927
Practice Address - Country:US
Practice Address - Phone:615-643-2706
Practice Address - Fax:615-643-2706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2007-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000008722207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3629468Medicare PIN