Organization
ALTA ANESTHESIA ASSOCIATES OF GEORGIA, PC
Active
Other names
Southeast Georgia Regional
Organization subpart
No
Provider details
NPI number
Authorized official
RICH OTT (ADMINISTRATOR/MANAGER)
(912) 264-0014
Entity
Organization
Contact information
Practice address
3100 KEMBLE AVE, BRUNSWICK, GA 31520-4211
(912) 264-0014
(912) 264-5003
Mailing address
4 SAINT ANDREWS CT, BRUNSWICK, GA 31520-6764
(912) 264-0014
(912) 264-5003
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
GA
363A00000X
Physician Assistant
—
GA
367500000X
Certified Registered Nurse Anesthetist
—
GA
367H00000X
Anesthesiologist Assistant
—
GA
Other
Enumeration date
02/01/2006
Last updated
07/21/2022
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