Organization
RIVERSIDE ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN TAYLOR CRNA (OWNER)
(706) 533-4609
Entity
Organization
Contact information
Practice address
2258 WRIGHTSBORO RD, AUGUSTA, GA 30904-4887
(706) 737-8827
Mailing address
647 DEERWOOD WAY, EVANS, GA 30809-4401
(706) 533-4609
(706) 364-6593
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
10/05/2015
Last updated
10/05/2015
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