Organization
IRWIN COUNTY ANESTHESIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JURAN RAY CRNA (PRESIDENT)
(912) 389-1518
Entity
Organization
Contact information
Practice address
710 N IRWIN AVE, OCILLA, GA 31774-5011
(912) 389-1518
(912) 389-1518
Mailing address
206 WARD ST E, DOUGLAS, GA 31533-4600
(912) 389-1518
(912) 389-1518
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
05/01/2007
Last updated
08/22/2020
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