Organization
SOUTHEAST ANESTHESIOLOGY CONSULTANTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDGAR C GARRABRANT III MD (PRESIDENT/DIRECTOR)
(754) 247-4124
Entity
Organization
Contact information
Practice address
2520 INDEPENDENCE BLVD, SUITE 200, WILMINGTON, NC 28412
(910) 442-1100
(910) 442-1199
Mailing address
1305 WALT WHITMAN RD STE 300, MELVILLE, NY 11747-4300
(516) 208-4250
(704) 248-5537
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024AJ
BCBS
NC
05
—
5917193
—
NC
01
—
CK0203
RAILROAD-MEDICARE
NC
05
—
QPB699
—
SC
Enumeration date
12/09/2010
Last updated
08/21/2023
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