Organization
TOMBIGBEE ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDITH SHELTON (OFFICE MANAGER)
(662) 327-6820
Entity
Organization
Contact information
Practice address
634 LEIGH DR, COLUMBUS, MS 39705-3014
(662) 327-6820
(662) 327-9388
Mailing address
PO BOX 9235, COLUMBUS, MS 39705-0017
(662) 327-6820
(662) 327-9388
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015934
—
MS
Enumeration date
08/10/2005
Last updated
11/07/2007
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