# PREMIER ANESTHESIA OF MONTGOMERY

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

## Provider details

- **NPI number:** 1023542750
- **Authorized official:** LINDA CHANEY (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (770) 643-5619

## Contact information

- **Practice address:** 2105 E SOUTH BLVD, MONTGOMERY, AL 36116-2409
- **Practice address phone:** (334) 322-9983
- **Mailing address:** 8732 HALLWOOD DR, MONTGOMERY, AL 36117-8915
- **Mailing address phone:** (334) 220-3821

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 1-139121 | AL | Yes |

## Other

- **Enumeration date:** 04/19/2017
- **Last updated:** 04/19/2017