Organization
ANA ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA FOX (CREDENTIALING SPECIALIST)
(336) 553-3999
Entity
Organization
Contact information
Practice address
103 GREGG AVE NW, SUITE 100, AIKEN, SC 29801-3096
(803) 226-0434
(336) 553-3994
Mailing address
PO BOX 18666, GREENSBORO, NC 27419-8666
(336) 553-1659
(336) 553-3994
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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