Sara Micah Eddleman, | |
848 Adams Ave, Memphis, TN 38103-2816 | |
(866) 870-5570 | |
Not Available |
Full Name | Sara Micah Eddleman |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 848 Adams Ave, Memphis, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790305852 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 899452 (Mississippi) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 27765 (Tennessee) | Primary |
Entity Name | Pediatric Anesthesiologists P A |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720087802 PECOS PAC ID: 0941109482 Enrollment ID: O20040826000464 |
Entity Name | Lifelinc Anesthesia Ii, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821397233 PECOS PAC ID: 2668658493 Enrollment ID: O20110512000311 |
Mailing Address | Practice Location Address |
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Sara Micah Eddleman, 1593 Mckenas Way Cv, Hernando, MS 38632-2203 Ph: () - | Sara Micah Eddleman, 848 Adams Ave, Memphis, TN 38103-2816 Ph: (866) 870-5570 |
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