Organization
SOUTH ALABAMA ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH R JOHNSON MD (DIRECTOR)
(912) 338-6511
Entity
Organization
Contact information
Practice address
849 S THREE NOTCH ST, ANDALUSIA, AL 36420-5325
(334) 222-8466
Mailing address
PO BOX 10326, GREENSBORO, NC 27404-0326
(336) 852-6525
(336) 852-6527
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
05/15/2013
Last updated
05/15/2013
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