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Organization
CAROLINA ANESTHESIOLOGY ASSOCIATES PA
Active
Organization
CAROLINA ANESTHESIOLOGY ASSOCIATES PA
Active
Other names
Critical Health Systems of South Carolina, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTNEY SHANHOLTZER (CREDENTIALING)
(240) 566-1639
Entity
Organization
Contact information
Practice address
240 STONERIDGE DR, SUITE 304, COLUMBIA, SC 29210-8013
(803) 708-8126
(803) 708-1370
Mailing address
PO BOX 3387, FREDERICK, MD 21705-3387
(888) 276-1910
(240) 566-1605
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
—
NULL
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
154754700
US DEPARTMENT OF LABOR
SC
01
—
CM1538
RR MEDICARE
SC
01
—
PA0365
SELECT HEALTH
SC
05
—
PA0365
—
SC
Enumeration date
10/04/2006
Last updated
12/18/2014
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