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Organization

SOUTHEAST ANESTHESIOLOGY CONSULTANTS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EDGAR C GARRABRANT III (PRESIDENT)
(754) 247-4124
Entity
Organization

Contact information

Practice address
927 EAST BLVD, CHARLOTTE, NC 28203
(704) 377-5772
(704) 377-3389
Mailing address
1305 WALT WHITMAN RD STE 300, MELVILLE, NY 11747-4300
(516) 208-4250
(704) 248-5537

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02697
BCBSNC
NC
05
406873
SC
05
5917101
NC
01
CC9626
RAILROAD-MEDICARE
NC
01
DO4297
RAILROAD-MEDICARE
SC
Enumeration date
04/18/2006
Last updated
07/16/2025
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