Organization
JESUPCARE ANESTHESIA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT DIAMANT MD (PRESIDENT)
(706) 660-8505
Entity
Organization
Contact information
Practice address
865 S 1ST ST, JESUP, GA 31545-0210
(912) 427-6811
Mailing address
PO BOX 2585, COLUMBUS, GA 31902-2585
(706) 660-8505
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
08/16/2006
Last updated
01/28/2012
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