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Organization

GLYNN ANESTHESIA ASSOCIATES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA M DAVIS (VP, HR)
(334) 279-1450
Entity
Organization

Contact information

Practice address
3217 4TH ST, BRUNSWICK, GA 31520-3759
(912) 267-0058
(334) 395-4110
Mailing address
PO BOX 235019, MONTGOMERY, AL 36123-5019
(334) 279-1450
(334) 395-4110

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary

Other

Enumeration date
09/02/2014
Last updated
09/02/2014
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