Organization
CP ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL D WEIR (MEMBER)
(706) 425-2239
Entity
Organization
Contact information
Practice address
425 CENTRE VIEW BLVD, CRESTVIEW HILLS, KY 41017-3409
(800) 208-6014
(706) 850-7733
Mailing address
1090 EXPERIMENT STATION RD UNIT 529, WATKINSVILLE, GA 30677-5378
(706) 623-6699
(706) 850-7733
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
12/28/2015
Last updated
10/11/2016
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