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Organization
SURGICAL ANESTHESIA ASSOCIATES, PA
Active
Organization
SURGICAL ANESTHESIA ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TABITHA MAY (OFFICE MANAGER)
(601) 376-1848
Entity
Organization
Contact information
Practice address
1850 CHADWICK DR, JACKSON, MS 39204-3404
(601) 376-1848
(601) 376-1894
Mailing address
PO BOX 7539, JACKSON, MS 39284-7539
(601) 376-1848
(601) 376-1894
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
NULL
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09013711
—
MS
05
—
09016165
—
MS
Enumeration date
05/31/2006
Last updated
08/15/2013
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