# SOUTH ALABAMA ANESTHESIA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013353291
- **Authorized official:** KEITH R JOHNSON MD (DIRECTOR)
- **Authorized official phone:** (912) 338-6511

## Contact information

- **Practice address:** 849 S THREE NOTCH ST, ANDALUSIA, AL 36420-5325
- **Practice address phone:** (334) 222-8466
- **Mailing address:** PO BOX 10326, GREENSBORO, NC 27404-0326
- **Mailing address phone:** (336) 852-6525
- **Mailing address fax:** (336) 852-6527

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/15/2013
- **Last updated:** 05/15/2013