Organization
SOUTHERN ANESTHESIA OF AUGUSTA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON FAUNCE (MBR)
(706) 533-4612
Entity
Organization
Contact information
Practice address
905 STEVENS CREEK RD, AUGUSTA, GA 30907-3201
(706) 922-6000
(706) 722-7994
Mailing address
PO BOX 16579, AUGUSTA, GA 30919-2579
(706) 868-0131
(706) 854-0131
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
12/29/2015
Last updated
12/29/2015
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