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Organization
ANESTHESIA SERVICES ASSOCIATES PLLC
Active
Organization
ANESTHESIA SERVICES ASSOCIATES PLLC
Active
Other names
Comprehensive Pain Specialist
Organization subpart
No
Provider details
NPI number
Authorized official
MANDY ROBERTSON (CREDENTIALING SPECIALIST)
(336) 842-8339
Entity
Organization
Contact information
Practice address
500 PINEVIEW DR, STE 205, KERNERSVILLE, NC 27284-3812
(336) 310-6115
Mailing address
PO BOX 440210, NASHVILLE, TN 37244-0210
(336) 842-8339
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
09/16/2016
Last updated
09/16/2016
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