Organization
MIDSTATE ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHRIAR SEDGHI M.D. (DIRECTOR)
(478) 464-2600
Entity
Organization
Contact information
Practice address
610 THIRD STREET, MACON, GA 31201
(478) 464-2600
(478) 464-2604
Mailing address
610 THIRD STREET, MACON, GA 31201
(478) 464-2600
(478) 464-2604
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
02/09/2010
Last updated
02/09/2010
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