Organization
CAROLINA ANESTHESIA ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY N CAUDLE CRNA (PRESIDENT)
(828) 327-6673
Entity
Organization
Contact information
Practice address
646 HARTNESS ROAD, STATESVILLE, NC 28677
(704) 871-0081
Mailing address
292A 9TH AVE DR NE, HICKORY, NC 28601
(828) 327-6673
(828) 327-0668
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8000263
—
NC
05
—
GP3620
—
SC
Enumeration date
05/04/2006
Last updated
09/19/2007
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