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Organization

CAROLINA REGIONAL ANESTHESIA PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JEFFREY N CAUDLE CRNA (MANAGING MEMBER)
(828) 322-7305
Entity
Organization

Contact information

Practice address
205 PAGE RD, PINEHURST, NC 28374-8749
(800) 951-7580
Mailing address
PO BOX 4860, MURRELLS INLET, SC 29576-2698
(800) 951-7580

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
367500000X
Certified Registered Nurse Anesthetist
Primary

Other

Enumeration date
11/08/2011
Last updated
11/08/2011
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