Organization
ATHENS AND LIMESTONE COUNTY HEALTHCARE AUTHORITY
Active
Other names
Athens Limestone CRNA Group
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES RANDALL COMER (CFO)
(256) 233-9172
Entity
Organization
Contact information
Practice address
700 W MARKET ST, ATHENS, AL 35611-2457
(256) 233-9292
(256) 233-9272
Mailing address
PO BOX 999, ATHENS, AL 35612-0999
(256) 233-9292
(256) 233-9272
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109761
—
AL
01
—
DP9210
RAILROAD MEDICARE
AL
Enumeration date
12/19/2008
Last updated
04/09/2010
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