Organization
POLAYA ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA POOLE (OWNER)
(843) 251-8979
Entity
Organization
Contact information
Practice address
201 74TH AVE N, MYRTLE BEACH, SC 29572-3832
(843) 251-8979
Mailing address
PO BOX 4860, MURRELLS INLET, SC 29576-2698
(843) 651-2624
(843) 491-4023
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4073
SC
Other
Enumeration date
12/29/2015
Last updated
12/29/2015
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