Organization
INNOVATIVE ANESTHESIA SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER ERIN JOHNSON (ORGANIZER)
(850) 516-0788
Entity
Organization
Contact information
Practice address
35 HOSPITAL RD, BLAIRSVILLE, GA 30512-3139
(706) 745-2111
(706) 439-6456
Mailing address
PO BOX 160235, ALTAMONTE SPRINGS, FL 32716-0235
(423) 639-0941
(423) 638-3401
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
12/02/2021
Last updated
09/08/2023
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