Organization
MEMORIAL HEALTH ANESTHETISTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK RANDALL MD (ANESTHESIOLOGIST/CHIEF)
(912) 350-8000
Entity
Organization
Contact information
Practice address
4700 WATERS AVENUE, SAVANNAH, GA 31403-3089
(912) 350-8000
Mailing address
4700 WATERS AVENUE, SAVANNAH, GA 31403-3089
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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