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Organization
MEDNAX
Active
Organization
MEDNAX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALIE EASTERWOOD CAA (ANESTHESIOLOGIST ASSISTANT)
(706) 346-9605
Entity
Organization
Contact information
Practice address
770 PINE ST STE L40, MACON, GA 31201-7521
(478) 633-9670
Mailing address
107 BILLY PYLE RD SW, ROME, GA 30165-3520
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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