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Organization
AIKEN ANESTHESIOLOGY GROUP PA.
Active
Organization
AIKEN ANESTHESIOLOGY GROUP PA.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN S ULMER JR. MD (SECRETARY-TREASURER)
(336) 553-1659
Entity
Organization
Contact information
Practice address
302 UNIVERSITY PKWY, AIKEN REGIONAL MEDICAL CENTER, AIKEN, SC 29801-6302
(336) 553-1659
(336) 553-3994
Mailing address
PO BOX 7397, AIKEN, SC 29804-7397
(336) 553-1659
(336) 553-3994
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CL5780
RRB
SC
05
—
GP0055
—
SC
Enumeration date
07/18/2006
Last updated
06/21/2018
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