Organization
REM ANESTHESIA PROVIDERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD E MILLER CRNA (OWNER)
(800) 786-0626
Entity
Organization
Contact information
Practice address
3911 B HWY 17, MURRELLS INLET, SC 29576
(843) 234-2330
Mailing address
P O BOX 821, CHARLESTON, WV 25323-0821
(800) 786-0626
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN478
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE5998
RR MEDICARE
SC
05
—
GP4376
—
SC
Enumeration date
04/28/2006
Last updated
05/20/2008
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