Organization
GT ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY LAWLER IVY CRNA (CRNA)
(843) 906-3276
Entity
Organization
Contact information
Practice address
1728 W CANNING DR, MOUNT PLEASANT, SC 29466-9311
(843) 906-3276
Mailing address
1728 W CANNING DR, MOUNT PLEASANT, SC 29466-9311
(843) 906-3276
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN3094
SC
Other
Enumeration date
07/03/2012
Last updated
07/03/2012
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