Organization
PENNINGTON ANESTHESIOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN PENNINGTON CRNA (PRESIDENT)
(225) 328-5882
Entity
Organization
Contact information
Practice address
8888 SUMMA AVE, BATON ROUGE, LA 70809-3720
(225) 769-4493
Mailing address
PO BOX 660257, BIRMINGHAM, AL 35266-0257
(205) 979-5882
(205) 979-1248
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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