Organization
DREAM WORK ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE HUDSON CRNA (PRESIDENT)
(706) 855-9860
Entity
Organization
Contact information
Practice address
811 13TH ST STE 17, AUGUSTA, GA 30901-2771
(706) 724-4111
Mailing address
PO BOX 3023, EVANS, GA 30809-0077
(706) 855-9860
(706) 860-7124
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
04/26/2010
Last updated
04/26/2010
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