Organization
J&J ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN CHAKIDES CRNA (OWNER)
(843) 424-3474
Entity
Organization
Contact information
Practice address
1 WELLNESS BLVD, SUITE 110, IRMO, SC 29063-2871
(803) 732-8632
Mailing address
1690 DUNLAWTON AVE, SUITE 130, PORT ORANGE, FL 32127-8979
(888) 836-7015
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
SC
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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