Organization
SOUTHERN ANESTHESIA COMPANY, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN G WOOLEY II CRNA (PARTNER)
(850) 251-2511
Entity
Organization
Contact information
Practice address
306 ISABELLA ST, WAYCROSS, GA 31501-3636
(850) 251-2511
Mailing address
306 ISABELLA ST, WAYCROSS, GA 31501-3636
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
09/11/2014
Last updated
10/09/2014
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