Organization
ANESTHESIA PROVIDERS OF AUGUSTA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON M THOMAS C.R.N.A. (SOUL OWNER)
(706) 836-4915
Entity
Organization
Contact information
Practice address
215 MIMS RD, SYLVANIA, GA 30467-1994
(706) 868-0131
(706) 854-0131
Mailing address
PO BOX 12001, AUGUSTA, GA 30914-2001
(706) 868-0131
(706) 854-0131
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN112820
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
GA
Enumeration date
05/27/2008
Last updated
05/27/2008
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