Organization
MEDICAL DOCTORS OF ANESTHESIOLOGY, PA
Active
Organization
MEDICAL DOCTORS OF ANESTHESIOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARL H TALTS MD (PRESIDENT)
(336) 553-1659
Entity
Organization
Contact information
Practice address
117 E KINGS HIGHWAY, EDEN, NC 27288-5201
(336) 623-9711
(336) 623-5844
Mailing address
P O BOX 8846, GREENSBORO, NC 27419-0846
(336) 553-1659
(336) 553-3994
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890214B
—
NC
01
—
CG6843
MEDICARE RR
NC
Enumeration date
05/24/2006
Last updated
09/25/2012
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