Organization
TRANQUIL ANESTHESIOLOGY LLC
Active
Organization
TRANQUIL ANESTHESIOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD DOUBERLY CRNA (MEMBER MANAGER)
(888) 728-0882
Entity
Organization
Contact information
Practice address
577 MULBERRY ST STE 110, MACON, GA 31201-8220
(888) 728-0882
Mailing address
PO BOX 850001 DEPT 238, ORLANDO, FL 32885-4380
(941) 360-1566
(941) 358-9818
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
07/29/2015
Last updated
08/18/2020
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