# ISLAND ANESTHESIA SERVICES LLC

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

## Provider details

- **NPI number:** 1396725024
- **Authorized official:** DR. OTTO I CZECHNER MD (PRESIDENT)
- **Authorized official phone:** (843) 557-7443

## Contact information

- **Practice address:** 606 BLACK RIVER RD, ANESTHESIA DEPT, GEORGETOWN, SC 29440-3304
- **Practice address phone:** (843) 527-7000
- **Practice address fax:** (843) 520-8094
- **Mailing address:** PO BOX 421718, GEORGETOWN, SC 29442-4203
- **Mailing address phone:** (843) 557-7443
- **Mailing address fax:** (843) 520-8094

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | — |

## Other

- **Enumeration date:** 01/19/2006
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GRP0383 | — | SC |