Organization
SOUTHERN ANESTHESIA CONSULTANTS OF GA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM E AGUDELO CRNA (OWNER)
(800) 394-0131
Entity
Organization
Contact information
Practice address
403 LAKEVIEW PL, MACON, GA 31211-6127
(800) 394-0131
(478) 254-8119
Mailing address
403 LAKEVIEW PL, MACON, GA 31211-6127
(800) 394-0131
(478) 254-8119
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
02/08/2013
Last updated
07/23/2013
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