Organization
SOUTHERN NURSE ANESTHESIOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY BRYANT CRNA (OWNER)
(800) 204-0099
Entity
Organization
Contact information
Practice address
1905 TEBEAU STREET, WAYCROSS, GA 31501-6356
(800) 204-0099
(336) 882-2216
Mailing address
PO BOX 1051, WAYCROSS, GA 31502-1051
(800) 204-0099
(336) 882-2216
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
GA
Other
Enumeration date
04/27/2012
Last updated
04/27/2012
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