Provider Demographics
NPI:1942233150
Name:CRNA ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:CRNA ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:H
Authorized Official - Last Name:GUY
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:423-667-3225
Mailing Address - Street 1:8208 CARRIAGE XING
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-3264
Mailing Address - Country:US
Mailing Address - Phone:423-667-3225
Mailing Address - Fax:423-890-0720
Practice Address - Street 1:8208 CARRIAGE XING
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-3264
Practice Address - Country:US
Practice Address - Phone:423-667-3225
Practice Address - Fax:423-890-0720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3722804Medicaid
TN3722804Medicaid
GAGRP6100Medicare ID - Type UnspecifiedMEDICARE GROUP #
TN3722804Medicaid
=========OtherTAX ID