Organization
PREMIER ANESTHESIA OF MONTGOMERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA CHANEY (CREDENTIALING COORDINATOR)
(770) 643-5619
Entity
Organization
Contact information
Practice address
2105 E SOUTH BLVD, MONTGOMERY, AL 36116-2409
(334) 322-9983
Mailing address
8732 HALLWOOD DR, MONTGOMERY, AL 36117-8915
(334) 220-3821
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
1-139121
AL
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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