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Organization

ANESTHESIOLOGY CONSULTANTS OF SOUTH CAROLINA, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KARL B WAGNER (VICE PRESIDENT)
(800) 243-3839
Entity
Organization

Contact information

Practice address
927 EAST BLVD, CHARLOTTE, NC 28203-5203
(704) 377-5772
(704) 377-3389
Mailing address
PO BOX 535432, ATLANTA, GA 30353-6220
(704) 377-5772

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
04/23/2010
Last updated
10/25/2011
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