Organization
SAGE ANESTHESIA SERVICES, LLC
Active
Other names
Sage Condominium Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARLA YVETTE TRACY CRNA (OWNER)
(304) 638-0295
Entity
Organization
Contact information
Practice address
58 BROOKSHIRE LN, BECKLEY, WV 25801-6765
(304) 252-4900
(304) 252-8470
Mailing address
5818 COUNTY ROAD 6, KITTS HILL, OH 45645-8813
(304) 638-0295
(681) 238-5016
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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