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Organization

GA PATRICK ANESTHESIA PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GARY PATRICK CRNA (OWNER)
(706) 271-0100
Entity
Organization

Contact information

Practice address
8255 COLLEGE PKWY STE 100, FORT MYERS, FL 33919-5119
(706) 271-0100
Mailing address
PO BOX 943, DALTON, GA 30722-0943

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
367500000X
Certified Registered Nurse Anesthetist
Primary

Other

Enumeration date
08/23/2022
Last updated
08/23/2022
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