Organization
REGAL ANESTHESIA, LLC
Active
Parent organization
RENUE PLASTIC SURGERY, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RENUE PLASTIC SURGERY, LLC
Authorized official
CHARLES WILLIAM MITCHELL M.D. (MEMBER, MANAGER)
(912) 280-9977
Entity
Organization
Contact information
Practice address
2500 STARLING ST, SUITE 303, BRUNSWICK, GA 31520-4265
(912) 280-9977
(912) 280-9995
Mailing address
PO BOX 2197, BRUNSWICK, GA 31521-2197
(912) 280-9977
(912) 280-9995
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
01/30/2009
Last updated
10/28/2020
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