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Organization
BRANSTITER ANESTHESIA SERVICES, LLC
Active
Organization
BRANSTITER ANESTHESIA SERVICES, LLC
Active
Other names
Branstiter Anesthesia Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ALY D BRANSTITER (PRESIDENT)
(843) 614-7304
Entity
Organization
Contact information
Practice address
1844 WALLACE SCHOOL RD, CHARLESTON, SC 29407-4822
(843) 614-7304
(803) 765-1732
Mailing address
PO BOX 1467, COLUMBIA, SC 29202-1467
(866) 283-6375
(803) 765-1732
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
—
—
367H00000X
Anesthesiologist Assistant
—
NULL
367H00000X
Anesthesiologist Assistant
—
—
Other
Enumeration date
05/09/2019
Last updated
10/11/2019
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