Organization
SOUTHEAST ANESTHESIA PROFESSIONALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA BALLINGER (ADMINISTRATOR)
(478) 929-0036
Entity
Organization
Contact information
Practice address
4501 RUSSELL PKWY STE 17, WARNER ROBINS, GA 31088-8680
(478) 333-1236
(478) 352-0095
Mailing address
PO BOX 6377, WARNER ROBINS, GA 31095-6377
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
GA
Other
Enumeration date
10/04/2012
Last updated
07/24/2020
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