Organization
ANESTHESIA SERVICES LLC
Active
Other names
Anesthesia Services
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN HOLLAND (CEO)
(228) 497-7907
Entity
Organization
Contact information
Practice address
2809 DENNY AVE, SRHS ANESTHEISA DEPARTMENT, PASCAGOULA, MS 39581-5301
(228) 809-5000
(228) 818-0519
Mailing address
PO BOX 789, OCEAN SPRINGS, MS 39566-0789
(228) 818-0563
(228) 818-0519
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015780
—
MS
Enumeration date
03/27/2007
Last updated
06/10/2016
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