Organization
NURSE ANESTHESIA OF ALABAMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN DALE HILLIARD (CFO)
(336) 884-1830
Entity
Organization
Contact information
Practice address
1515 6TH AVE S, BIRMINGHAM, AL 35233-1601
(205) 930-3612
Mailing address
PO BOX 222, LANDISVILLE, PA 17538-0222
(205) 930-3612
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
367H00000X
Anesthesiologist Assistant
—
—
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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