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Organization
SPECIALTY ANESTHESIA LLC
Active
Organization
SPECIALTY ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUZANNE M TURZILLO (ADMINISTRATOR)
(601) 355-1234
Entity
Organization
Contact information
Practice address
1421 N STATE ST, SUITE 203, JACKSON, MS 39202-1658
(601) 355-1234
Mailing address
PO BOX 4860, MURRELLS INLET, SC 29576-2698
(843) 651-2624
(843) 357-4940
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
NULL
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
06/01/2009
Last updated
06/01/2009
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