Organization
SOUTHEAST ANESTHESIA ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON WILLIAM COMBS CRNA (CO-OWNER)
(205) 213-8420
Entity
Organization
Contact information
Practice address
7191 CAHABA VALLEY RD, SUITE 200, BIRMINGHAM, AL 35242-6402
(205) 408-9787
(205) 408-3993
Mailing address
PO BOX 660257, BIRMINGHAM, AL 35266-0257
(205) 979-5882
(205) 979-1248
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529921400
—
AL
01
—
DB7661
RAILROAD MEDICARE
AL
Enumeration date
08/30/2006
Last updated
09/26/2016
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