# PINE BELT ANESTHESIA, LLC

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

## Provider details

- **NPI number:** 1831534783
- **Authorized official:** JOHN L TURNER IV MD (PRESIDENT)
- **Authorized official phone:** (334) 279-1450

## Contact information

- **Practice address:** 5001 HARDY ST, HATTIESBURG, MS 39402-1308
- **Practice address phone:** (334) 279-1450
- **Practice address fax:** (334) 395-4110
- **Mailing address:** PO BOX 22505, JACKSON, MS 39225-2505
- **Mailing address phone:** (334) 279-1450
- **Mailing address fax:** (334) 395-4110

## 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:** 05/06/2013
- **Last updated:** 05/06/2013