Organization
PREMIER ANESTHESIA OF SANFORD A
Active
Organization
PREMIER ANESTHESIA OF SANFORD A
Active
Parent organization
PREMIER ANESTHESIA LLC
Other names
Premier Anesthesia Of Sanford
Organization subpart
Yes
Provider details
NPI number
Legal business name
PREMIER ANESTHESIA LLC
Authorized official
MR. NORBERT D. HUMMEL III (EXCUTIVE VICE PRESIDENT)
(877) 742-0399
Entity
Organization
Contact information
Practice address
1135 CARTHAGE ST, SANFORD, NC 27330-4162
(919) 774-2100
Mailing address
PO BOX 235022, MONTGOMERY, AL 36123-5022
(334) 396-6930
(334) 396-6929
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017T2
BCBS-NC GROUP ID #
NC
01
—
7060782
AETNA GROUP ID #
NC
Enumeration date
05/20/2006
Last updated
04/20/2008
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