# METROPOLITAN ANESTHESIA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** METROPOLITAN ANESTHESIA LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720387954
- **Authorized official:** MICHAEL T MITCHELL (MANAGING MBR)
- **Authorized official phone:** (843) 651-2624

## Contact information

- **Practice address:** 9701 SW BARNES RD, SUITE 300, PORTLAND, OR 97225-6772
- **Practice address phone:** (843) 651-2624
- **Practice address fax:** (843) 357-4940
- **Mailing address:** PO BOX 4860, MURRELLS INLET, SC 29576-2698
- **Mailing address phone:** (843) 651-2624
- **Mailing address fax:** (843) 357-4940

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 03/28/2011
- **Last updated:** 04/15/2021