Organization
IVORY COAST ANESTHESIA MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARITE GARNER (VICE PRESIDENT OPERATIONS)
(904) 298-9590
Entity
Organization
Contact information
Practice address
800 W 9TH ST, JASPER, IN 47546-2514
(850) 985-9180
Mailing address
PO BOX 830560, PHILADELPHIA, PA 19182-0560
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
01/02/2024
Last updated
12/19/2024
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