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Organization

PREMIER ANESTHESIA GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PAUL JOSEPH MAHOLTZ (CRNA)
(910) 257-8460
Entity
Organization

Contact information

Practice address
525 SAMARITANS RIDGE CT, ELKIN, NC 28621-2457
(336) 835-5330
Mailing address
51 WISPY WILLOW DR, SANFORD, NC 27332-6432
(919) 498-2125

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
NC

Other

Enumeration date
09/20/2006
Last updated
08/22/2020
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