# PRAIRIE ANESTHESIA, PLLC

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

## Provider details

- **NPI number:** 1508868514
- **Authorized official:** BEEKMAN LEE YOUNGBLOOD MD (PARTNER)
- **Authorized official phone:** (334) 878-4560

## Contact information

- **Practice address:** 2520 5TH ST N, COLUMBUS, MS 39705-2008
- **Practice address phone:** (662) 244-1000
- **Mailing address:** 7956 VAUGHN RD \# 165, MONTGOMERY, AL 36116-6625
- **Mailing address phone:** (888) 829-0068
- **Mailing address fax:** (334) 239-7654

## Taxonomy

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

## Other

- **Enumeration date:** 08/10/2005
- **Last updated:** 02/12/2020
