Organization
SOUTH CENTRAL ANESTHESIA ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN DICKINSON (CRNA/OWNER)
(270) 779-6696
Entity
Organization
Contact information
Practice address
155 STONE TRACE DR, ALVATON, KY 42122-7809
(270) 779-6696
(615) 547-9845
Mailing address
PO BOX 5000, LEBANON, TN 37088-5000
(615) 444-2320
(615) 547-9845
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
KY
Other
Enumeration date
02/26/2015
Last updated
02/26/2015
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