Organization
SE GEORGIA ANESTHESIA, LLC
Active
Organization
SE GEORGIA ANESTHESIA, LLC
Active
Other names
Memorial Health Meadows Physicians- Anesthesia
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HICKS (PRESIDENT)
(615) 373-7600
Entity
Organization
Contact information
Practice address
1 MEADOWS PKWY, VIDALIA, GA 30474-8759
(888) 276-1910
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4692
(615) 373-7406
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
03/17/2021
Last updated
11/20/2025
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