Organization
CAROLINA ANESTHESIOLOGY ASSOCIATES PA
Active
Other names
Critical Health Systems of South Carolina, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTNEY SHANHOLTZER (CREDENTIALING)
(240) 566-1639
Entity
Organization
Contact information
Practice address
240 STONERIDGE DR, SUITE 304, COLUMBIA, SC 29210-8013
(803) 708-8126
(803) 708-1370
Mailing address
PO BOX 3387, FREDERICK, MD 21705-3387
(888) 276-1910
(240) 566-1605
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
154754700
US DEPARTMENT OF LABOR
SC
01
—
CM1538
RR MEDICARE
SC
01
—
PA0365
SELECT HEALTH
SC
05
—
PA0365
—
SC
Enumeration date
10/04/2006
Last updated
12/18/2014
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