# AIKEN ANESTHESIOLOGY GROUP PA.

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

## Provider details

- **NPI number:** 1629096490
- **Authorized official:** DR. BENJAMIN S ULMER JR. MD (SECRETARY-TREASURER)
- **Authorized official phone:** (336) 553-1659

## Contact information

- **Practice address:** 302 UNIVERSITY PKWY, AIKEN REGIONAL MEDICAL CENTER, AIKEN, SC 29801-6302
- **Practice address phone:** (336) 553-1659
- **Practice address fax:** (336) 553-3994
- **Mailing address:** PO BOX 7397, AIKEN, SC 29804-7397
- **Mailing address phone:** (336) 553-1659
- **Mailing address fax:** (336) 553-3994

## Taxonomy

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

## Other

- **Enumeration date:** 07/18/2006
- **Last updated:** 06/21/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | CL5780 | RRB | SC |
| 05 | — | GP0055 | — | SC |