# ANESTHESIA SERVICES OF DECATUR PC

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

## Provider details

- **NPI number:** 1629034624
- **Authorized official:** JENNIE DELASHAW (BUSINESS MANAGER)
- **Authorized official phone:** (256) 221-7482

## Contact information

- **Practice address:** 1201 7TH ST SE, DECATUR, AL 35601-3337
- **Practice address phone:** (256) 341-2000
- **Practice address fax:** (256) 350-2609
- **Mailing address:** PO BOX 757, FLORENCE, AL 35631-0757
- **Mailing address phone:** (256) 764-9697
- **Mailing address fax:** (256) 764-9699

## Taxonomy

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

## Other

- **Enumeration date:** 04/26/2006
- **Last updated:** 01/03/2022