Organization
SOUTHERN ANESTHESIA OF AUGUSTA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON ANTHONY FAUNCE CRNA (AGENT)
(706) 855-9860
Entity
Organization
Contact information
Practice address
110 PEPPER HILL WAY, AIKEN, SC 29801-2818
(706) 737-9250
(706) 733-0697
Mailing address
PO BOX 16579, AUGUSTA, GA 30919-2579
(706) 737-9250
(706) 733-0697
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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