Organization
ANESTHESIA WORKS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WALTHALL CRNA (OWNER)
(843) 327-6616
Entity
Organization
Contact information
Practice address
1735 TAYLOR ST, COLUMBIA, SC 29201-3452
(803) 254-3452
Mailing address
148 WELCHMAN AVE, GOOSE CREEK, SC 29445-7152
(843) 327-6616
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP5317
—
SC
Enumeration date
11/10/2009
Last updated
10/18/2010
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