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Organization

ANESTHESIA OF COASTAL GEORGIA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GREGORY D BORAK (AUTHORIZED OFFICIAL)
(912) 354-9447
Entity
Organization

Contact information

Practice address
519 STEPHENSON AVE, SAVANNAH, GA 31405-5969
(941) 360-1566
(941) 358-9818
Mailing address
519 STEPHENSON AVE, SAVANNAH, GA 31405-5969
(912) 354-9447
(912) 354-9548

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
367500000X
Certified Registered Nurse Anesthetist

Other

Enumeration date
11/18/2011
Last updated
02/12/2024
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