Organization
SURGICAL ANESTHESIA ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TABITHA MAY (OFFICE MANAGER)
(601) 376-1848
Entity
Organization
Contact information
Practice address
1850 CHADWICK DR, JACKSON, MS 39204-3404
(601) 376-1848
(601) 376-1894
Mailing address
PO BOX 7539, JACKSON, MS 39284-7539
(601) 376-1848
(601) 376-1894
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09013711
—
MS
05
—
09016165
—
MS
Enumeration date
05/31/2006
Last updated
08/15/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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