Organization
COASTAL ANESTHESIA ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RITA Y WARREN RN (OFFICE ASSISTANT)
(912) 267-0058
Entity
Organization
Contact information
Practice address
3217 4TH ST, BRUNSWICK, GA 31520-3759
(912) 267-0058
Mailing address
PO BOX 30973, SEA ISLAND, GA 31561-0973
(912) 267-0058
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
09/16/2006
Last updated
08/22/2020
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