Organization
MEDICAL ANESTHESIA GROUP, PA
Active
Organization
MEDICAL ANESTHESIA GROUP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW JOHNSON (PRACTICE ADMINISTRATOR)
(901) 725-5846
Entity
Organization
Contact information
Practice address
6060 PRIMACY PKWY STE 241, MEMPHIS, TN 38119
(901) 725-5846
(901) 726-4827
Mailing address
PO BOX 11407 DEPT 2607, BIRMINGHAM, AL 35246-2607
(901) 725-5846
(901) 726-4827
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
05/22/2006
Last updated
08/15/2022
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