Organization
PREMIER ANESTHESIA OF FAIRMONT, WV, A DIVISION OF PREMIER ANESTHESIA
Active
Parent organization
PREMIER ANESTHESIA, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PREMIER ANESTHESIA, LLC
Authorized official
NORBERT D HUMMEL III (EXECUTIVE VICE PRESIDENT)
(877) 742-0399
Entity
Organization
Contact information
Practice address
1325 LOCUST AVE, FAIRMONT, WV 26554-1435
(304) 367-7100
Mailing address
2655 NORTHWINDS PKWY, ALPHARETTA, GA 30009-2280
(678) 277-3055
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
04/22/2008
Last updated
09/24/2013
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