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Organization
PHYSICIANS ANESTHESIA GROUP, P.A.
Active
Organization
PHYSICIANS ANESTHESIA GROUP, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILBURN MARET MAXWELL M.D. (TREASURER)
(601) 362-1990
Entity
Organization
Contact information
Practice address
971 LAKELAND DR, SUITE 202, JACKSON, MS 39216-4643
(601) 362-1990
(601) 362-1988
Mailing address
971 LAKELAND DR, SUITE 202, JACKSON, MS 39216-4643
(601) 362-1990
(601) 362-1988
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
06/16/2006
Last updated
08/22/2020
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