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Organization

SOUTHERN CHARM ANESTHESIA ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAKASIA PATRICE HILL CRNA (CEO)
(678) 471-5362
Entity
Organization

Contact information

Practice address
1148 GREAT GLEN WAY, LAWRENCEVILLE, GA 30045-9103
(678) 471-5362
Mailing address
1148 GREAT GLEN WAY, LAWRENCEVILLE, GA 30045-9103
(678) 471-5362

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary

Other

Enumeration date
05/07/2020
Last updated
02/14/2022
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