# METRO ANESTHESIA, PLLC

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

## Provider details

- **NPI number:** 1487080396
- **Authorized official:** LISA M DAVIS (VP, HR)
- **Authorized official phone:** (334) 279-1450

## Contact information

- **Practice address:** 204 VALLEY RD, RIDGELAND, MS 39157-9105
- **Practice address phone:** (334) 279-1450
- **Mailing address:** 204 VALLEY RD, RIDGELAND, MS 39157-9105
- **Mailing address phone:** (334) 279-1450
- **Mailing address fax:** (334) 395-4110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/24/2013
- **Last updated:** 09/24/2013