Organization
ALBEMARLE ANESTHESIOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHEAL BOHNSACK MD (PRESIDENT)
(704) 984-4186
Entity
Organization
Contact information
Practice address
301 YADKIN ST, ALBEMARLE, NC 28001-3441
(704) 984-4000
Mailing address
PO BOX 2119, ALBEMARLE, NC 28002-2119
(704) 984-4186
(704) 983-6624
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013T4
BC GROUP
NC
05
—
89013T4
—
NC
01
—
QPB960
SC MEDICAID
SC
Enumeration date
06/30/2006
Last updated
08/22/2020
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