Organization
IMC-ANESTHESIA SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNY BREAL (PRESIDENT NBI & SYSTEM SUPPORT)
(251) 435-2077
Entity
Organization
Contact information
Practice address
1815 HAND AVE, BAY MINETTE, AL 36507-4110
(251) 937-5521
Mailing address
PO BOX 660257, BIRMINGHAM, AL 35266-0257
(205) 979-5882
(205) 979-1248
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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