Organization
PINE BELT ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN L TURNER IV MD (PRESIDENT)
(334) 279-1450
Entity
Organization
Contact information
Practice address
5001 HARDY ST, HATTIESBURG, MS 39402-1308
(334) 279-1450
(334) 395-4110
Mailing address
PO BOX 22505, JACKSON, MS 39225-2505
(334) 279-1450
(334) 395-4110
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
05/06/2013
Last updated
05/06/2013
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