Organization
NC MOBILE ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN ALLEN HOLTON CRNA (CEO / OWNER)
(336) 681-5101
Entity
Organization
Contact information
Practice address
3073 TRENWEST DR, WINSTON SALEM, NC 27103-3207
(336) 765-0960
Mailing address
PO BOX 661495, BIRMINGHAM, AL 35266-1495
(205) 979-5882
(205) 979-1248
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
02/14/2023
Last updated
04/25/2023
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