Hila Tigue, | |
6965 Cumberland Gap Pkwy, Harrogate, TN 37752-8245 | |
(423) 869-3611 | |
Not Available |
Full Name | Hila Tigue |
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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 |
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1417604893 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WC0200X | Registered Nurse - Critical Care Medicine | 1149669 (Kentucky) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 151181 (Kentucky) | Primary |
Entity Name | Commonwealth Anesthesia, Psc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437196300 PECOS PAC ID: 5092627521 Enrollment ID: O20031104000115 |
Mailing Address | Practice Location Address |
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Hila Tigue, 6965 Cumberland Gap Pkwy, Harrogate, TN 37752-8245 Ph: (423) 869-3611 | Hila Tigue, 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 | |
Aneesa Ennab, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6965 Cumberland Gap Pkwy, Harrogate, TN 37752 Phone: 423-869-6324 | |
Joshua O Leatherwood, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6965 Cumberland Gap Pkwy, Harrogate, TN 37752 Phone: 865-309-0746 | |
Caroline Kincaid, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6965 Cumberland Gap Pkwy, Harrogate, TN 37752 Phone: 423-869-3611 |