Organization
MERIDIAN ANESTHESIA CONSULTANTS, LLC
Active
Organization
MERIDIAN ANESTHESIA CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARTHUR RICHARD GRAY JR. MD (CHIEF EXECUTIVE OFFICER)
(478) 742-8297
Entity
Organization
Contact information
Practice address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-1000
(478) 742-9670
Mailing address
770 PINE STREET, SUITE L40, MACON, GA 31201
(478) 742-8297
(478) 742-9670
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
999999
GA
207LP2900X
Pain Medicine (Anesthesiology) Physician
99999
GA
208VP0000X
Pain Medicine Physician
99999
GA
208VP0014X
Interventional Pain Medicine Physician
99999
GA
367500000X
Certified Registered Nurse Anesthetist
99999
GA
367H00000X
Anesthesiologist Assistant
99999
GA
Other
Enumeration date
12/28/2010
Last updated
04/29/2011
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