Organization
CALHOUN ANESTHESIA P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM DAVID BRANNON MD (PRESIDENT)
(706) 602-9995
Entity
Organization
Contact information
Practice address
1035 RED BUD RD NE, CALHOUN, GA 30701-6008
(706) 602-9995
(706) 624-0271
Mailing address
PO BOX 128, CALHOUN, GA 30703-0128
(706) 602-9995
(706) 624-0271
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055001250A
—
GA
01
—
06546
BLUE CROSS GP
GA
01
—
1C CM5659
RAILROAD MEDICARE
GA
01
—
GRP 332
MEDICARE GRP NUMBER
GA
Enumeration date
07/02/2006
Last updated
08/02/2012
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