Organization
PROVIDENCE ANESTHESIOLOGY ASSOCIATES, P.A.
Active
Organization
PROVIDENCE ANESTHESIOLOGY ASSOCIATES, P.A.
Active
Other names
Presbyterian Anesthesia Associates P.A,
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH P DUCEY MD (MD/PRESIDENT)
(704) 749-5800
Entity
Organization
Contact information
Practice address
3735 GLENLAKE DR STE 250, CHARLOTTE, NC 28208-6866
(704) 749-5800
(704) 626-3272
Mailing address
3735 GLENLAKE DR STE 250, CHARLOTTE, NC 28208-6866
(704) 749-5800
(704) 626-3272
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890180H
—
NC
Enumeration date
09/11/2005
Last updated
07/31/2020
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