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Organization
ISLAND ANESTHESIA SERVICES LLC
Active
Organization
ISLAND ANESTHESIA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OTTO I CZECHNER MD (PRESIDENT)
(843) 557-7443
Entity
Organization
Contact information
Practice address
606 BLACK RIVER RD, ANESTHESIA DEPT, GEORGETOWN, SC 29440-3304
(843) 527-7000
(843) 520-8094
Mailing address
PO BOX 421718, GEORGETOWN, SC 29442-4203
(843) 557-7443
(843) 520-8094
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GRP0383
—
SC
Enumeration date
01/19/2006
Last updated
07/21/2022
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