Organization
ECLIPSE ANESTHESIA LLC
Active
Other names
AHP of Macon LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH GIBBERT (ADMINISTRATOR)
(478) 464-2600
Entity
Organization
Contact information
Practice address
610 3RD ST, STE 206, MACON, GA 31201-3294
(478) 464-2600
Mailing address
610 3RD ST, STE 206, MACON, GA 31201-3294
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
01/30/2008
Last updated
01/30/2008
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