Caroline Kincaid, | |
6965 Cumberland Gap Pkwy, Harrogate, TN 37752-8245 | |
(423) 869-3611 | |
Not Available |
Full Name | Caroline Kincaid |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 6965 Cumberland Gap Pkwy, Harrogate, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720764483 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 227987 (Tennessee) | Primary |
Entity Name | Paragon Anesthesia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538174974 PECOS PAC ID: 8921044744 Enrollment ID: O20090402000626 |
Mailing Address | Practice Location Address |
---|---|
Caroline Kincaid, 1081 Raccoon Ln, Piney Flats, TN 37686-2929 Ph: () - | Caroline Kincaid, 6965 Cumberland Gap Pkwy, Harrogate, TN 37752-8245 Ph: (423) 869-3611 |
Alec Wiscombe, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6965 Cumberland Gap Parkway, Harrogate, TN 37752 Phone: 423-869-3611 | |
Logan Larkey, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6965 Cumberland Gap Pkwy, Harrogate, TN 37752 Phone: 361-142-3869 | |
Joshua O Leatherwood, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6965 Cumberland Gap Pkwy, Harrogate, TN 37752 Phone: 865-309-0746 |