# SOUTHEASTERN ANESTHESIA ASSOCIATES, LLC

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

## Provider details

- **NPI number:** 1124547617
- **Authorized official:** LORETTA RICARD NOLES (OWNER)
- **Authorized official phone:** (803) 917-1684

## Contact information

- **Practice address:** 1 WELLNESS BLVD STE 111, IRMO, SC 29063-2873
- **Practice address phone:** (803) 749-3770
- **Mailing address:** 550 ROSE SHARON DR, LEXINGTON, SC 29072-7669
- **Mailing address phone:** (803) 917-1684

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/15/2017
- **Last updated:** 09/15/2017