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Organization
MOBILE ANESTHESIA, LLC
Active
Organization
MOBILE ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY E INMAN MD (PARTNER)
(843) 553-7070
Entity
Organization
Contact information
Practice address
9263 MEDICAL PLAZA DR, STE E, CHARLESTON, SC 29406-7112
(843) 553-7070
(843) 553-2223
Mailing address
214 LITTLE PALM LOOP, MT PLEASANT, SC 29464-6622
(843) 553-7070
(843) 553-2223
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
17252
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DP2217
RAILROAD MEDICARE
SC
05
—
GP5188
—
SC
Enumeration date
01/22/2009
Last updated
08/02/2012
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