Organization
CONWAY ANESTHESIA ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN J HASKIN MD (PRESIDENT)
(843) 669-5162
Entity
Organization
Contact information
Practice address
300 SINGLETON RIDGE RD, CONWAY, SC 29526-9142
(843) 669-5162
(843) 667-4573
Mailing address
PO BOX 100523, FLORENCE, SC 29501-0523
(843) 669-5162
(843) 667-4573
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890142F
—
NC
05
—
PC3974
—
SC
Enumeration date
07/21/2006
Last updated
04/20/2008
Update your record
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