Organization
ANESTHESIA CARE SERVICES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNA STOTER CRNA (OWNER)
(336) 821-4171
Entity
Organization
Contact information
Practice address
1834 GRAVES MILL ROAD, FOREST, VA 24551
(888) 447-7220
(336) 884-1643
Mailing address
PO BOX 16068, HIGH POINT, NC 27261-6068
(888) 447-7220
(336) 884-1643
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
04/27/2006
Last updated
02/10/2020
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