Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

East Tennessee Anesthesia Providers, PC

Organization Specialist · NPI 1669584991

East Tennessee Anesthesia Providers, PC provides Specialist services in Kingsport, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10461 Wallace Alley St
Kingsport, TN 37663-3936 Not confirmed with CMS for 14 years — call before visiting
Phone: (423) 279-1400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MD0000010318 (TN)

Record details

NPI number1669584991
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Viktor Sulkowski — Owner · (423) 854-0001
NPI enumeratedAugust 31, 2006
Last updated in NPPESOctober 21, 2011
Mailing address3101 Browns Mill Rd Ste 6 Pmb 386, Johnson City, TN 37604-4100

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