Organization
AESTHETIC ANESTHESIA PA
Active
Other names
Rest Assured Aesthetic Anesthesia
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN N MCMULLEN MD (PRESIDENT)
(704) 928-5174
Entity
Organization
Contact information
Practice address
340 RIVERWOOD RD, MOORESVILLE, NC 28117-8896
(704) 928-5174
(704) 660-6946
Mailing address
340 RIVERWOOD RD, MOORESVILLE, NC 28117-8896
(704) 928-5174
(704) 660-6946
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01754
NC
Other
Enumeration date
07/21/2009
Last updated
11/03/2009
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