Organization
ALTA ANESTHESIA ASSOCIATES OF GEORGIA, PC
Active
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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