Organization
MT. PLEASANT ANESTHESIA ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES A. WEINHEIMER MD (AUTHORIZED REPRESENTATIVE)
(843) 881-4323
Entity
Organization
Contact information
Practice address
1200 JOHNNIE DODDS BLVD, MT PLEASANT, SC 29464-3231
(843) 881-4323
Mailing address
744 W MICHIGAN AVE, JACKSON, MI 49201-1909
(800) 242-1131
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
05/22/2006
Last updated
01/09/2008
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