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Organization

EASTERN CAROLINA SEDATION SERVICES, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SPENCER GARDNER CRNA (PRESIDENT/CEO)
(252) 955-2941
Entity
Organization

Contact information

Practice address
1021 ROYAL RIDGE DR, ROCKY MOUNT, NC 27804-2143
(252) 955-2941
Mailing address
1021 ROYAL RIDGE DR, ROCKY MOUNT, NC 27804-2143
(252) 955-2941

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
149935
NC

Other

Enumeration date
08/27/2013
Last updated
08/27/2013
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