Organization
REDMOND ANESTHESIOLOGY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN WURL MD (MD PRESIDENT)
(828) 254-1969
Entity
Organization
Contact information
Practice address
501 REDMOND ROAD, ROME, GA 30165
(706) 291-0291
(706) 802-3063
Mailing address
501 REDMOND ROAD, ROME, GA 30165
(706) 291-0291
(706) 802-3063
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-23868809
BCBS GA
GA
05
—
20-23868809
—
GA
01
—
GRP7107
MEDICARE GROUP #
GA
Enumeration date
07/24/2006
Last updated
04/20/2008
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