# MOBILE ANESTHESIA, LLC

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

## Provider details

- **NPI number:** 1992943484
- **Authorized official:** AMY E INMAN MD (PARTNER)
- **Authorized official phone:** (843) 553-7070

## Contact information

- **Practice address:** 9263 MEDICAL PLAZA DR, STE E, CHARLESTON, SC 29406-7112
- **Practice address phone:** (843) 553-7070
- **Practice address fax:** (843) 553-2223
- **Mailing address:** 214 LITTLE PALM LOOP, MT PLEASANT, SC 29464-6622
- **Mailing address phone:** (843) 553-7070
- **Mailing address fax:** (843) 553-2223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 17252 | SC | Yes |

## Other

- **Enumeration date:** 01/22/2009
- **Last updated:** 08/02/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | DP2217 | RAILROAD MEDICARE | SC |
| 05 | — | GP5188 | — | SC |