Organization
SHAMROCK ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN L YOUNG (PRACTICE MANAGER)
(478) 275-4740
Entity
Organization
Contact information
Practice address
2400 BELLEVUE RD STE 22, DUBLIN, GA 31021-2889
(478) 275-4740
(478) 275-0533
Mailing address
2400 BELLEVUE RD STE 22, P. O. BOX 1716, DUBLIN, GA 31021-2889
(478) 275-4740
(478) 275-0533
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
GA
Other
Enumeration date
05/24/2012
Last updated
05/24/2012
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