Organization
SOUTHERN CRESCENT NURSE ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN L MCLAIN CRNA (PRESIDENT)
(770) 251-2060
Entity
Organization
Contact information
Practice address
5995 SPRING ST, WARM SPRINGS, GA 31830-2149
(770) 655-3331
Mailing address
3025 HIGHWAY 154, NEWNAN, GA 30265-6107
(770) 251-2060
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
05/16/2006
Last updated
08/22/2020
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