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Organization

SOUTHEAST ANESTHESIA, PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD MATTHEW DEMAREE CRNA (OWNER)
(615) 865-5561
Entity
Organization

Contact information

Practice address
201 PARK ST, BOWLING GREEN, KY 42101-1742
(270) 781-5111
(270) 780-0478
Mailing address
PO BOX 293151, NASHVILLE, TN 37229-3151
(615) 620-2320
(615) 620-2323

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary

Other

Enumeration date
10/27/2020
Last updated
10/27/2020
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