Organization
CRNA SERVICES OF ST. VINCENT'S EAST, LLC
Active
Other names
St. Vincent's East Anesthesia
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER L KINGRY (VP OF FINANCIAL REPORTING)
(205) 838-3766
Entity
Organization
Contact information
Practice address
50 MEDICAL PARK DR E, BIRMINGHAM, AL 35235-3401
(205) 838-3000
Mailing address
PO BOX 935535, ATLANTA, GA 31193-5529
(205) 979-5882
(205) 979-1248
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140624
—
AL
Enumeration date
07/06/2012
Last updated
08/08/2014
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