# MEDNAX

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

## Provider details

- **NPI number:** 1801446455
- **Authorized official:** ALIE EASTERWOOD CAA (ANESTHESIOLOGIST ASSISTANT)
- **Authorized official phone:** (706) 346-9605

## Contact information

- **Practice address:** 770 PINE ST STE L40, MACON, GA 31201-7521
- **Practice address phone:** (478) 633-9670
- **Mailing address:** 107 BILLY PYLE RD SW, ROME, GA 30165-3520

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367H00000X | Anesthesiologist Assistant | — | — | Yes |

## Other

- **Enumeration date:** 09/16/2019
- **Last updated:** 09/16/2019