Organization
EVIN ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY K NICKELL (CFO)
(404) 334-0961
Entity
Organization
Contact information
Practice address
1101 PROFESSIONAL BLVD STE 104, EVANSVILLE, IN 47714-8018
(812) 437-7715
Mailing address
1090 EXPERIMENT STATION RD UNIT 529, WATKINSVILLE, GA 30677-5378
(800) 208-6014
(706) 850-7733
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
10/22/2019
Last updated
05/25/2023
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