Organization
REDMOND ANESTHESIA AND PAIN TREATMENT, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN HOLTZCLAW MD (SHAREHOLDER)
(954) 377-2927
Entity
Organization
Contact information
Practice address
501 REDMOND RD NW, ROME, GA 30165-1415
(706) 802-3727
Mailing address
7111 FAIRWAY DR, SUITE 450, PALM BEACH GARDENS, FL 33418-4204
(561) 799-3552
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
06/13/2012
Last updated
08/01/2024
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