Organization
SOUTHEASTERN ANESTHESIA GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANE DARRAH MD (CEO)
(706) 243-4506
Entity
Organization
Contact information
Practice address
2200 HAMILTON RD STE A, COLUMBUS, GA 31904-8889
(706) 655-8800
Mailing address
PO BOX 8629, COLUMBUS, GA 31908-8629
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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