Organization
PERFORMANCE ANESTHESIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL J WILSON (OWNER)
(205) 979-5882
Entity
Organization
Contact information
Practice address
202 HOSPITAL ST, MOULTON, AL 35650-1218
(256) 974-2200
(256) 216-1982
Mailing address
PO BOX 660257, BIRMINGHAM, AL 35266-0257
(205) 979-5882
(205) 979-1248
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us