Organization
SOUTH GEORGIA ANESTHESIA SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEWIS POTYONDY MD (PRESIDENT)
(229) 671-2000
Entity
Organization
Contact information
Practice address
4280 N VALDOSTA RD, ANESTHESIA DEPARTMENT, VALDOSTA, GA 31602-6814
(229) 671-2000
Mailing address
PO BOX 8846, GREENSBORO, NC 27419-0846
(336) 553-1659
(336) 553-3994
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042441559A
—
GA
Enumeration date
02/16/2008
Last updated
05/23/2008
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