Organization
INTEGRA ANESTHESIA ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS A PEMERTON RN, MBA (CHIEF OPERATING OFFICER)
(706) 767-8347
Entity
Organization
Contact information
Practice address
1825 MARTHA BERRY BLVD NW, ROME, GA 30165-1625
(706) 767-8347
Mailing address
519 BROAD ST, SUITE 106, ROME, GA 30161-1734
(706) 767-8347
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
10/15/2008
Last updated
07/02/2015
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