Organization
CUMBERLAND ANESTHESIA ASSOCIATES P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STUART MORRIS SQUIRES MD (PRESIDENT)
(910) 323-8594
Entity
Organization
Contact information
Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 323-8594
Mailing address
PO BOX 538211, ATLANTA, GA 30353-8211
(706) 860-2701
(706) 860-2701
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0126N
STATE HEALTH PLAN
NC
05
—
890126N
—
NC
01
—
CA3342
RAILROAD MEDICARE
NC
Enumeration date
09/26/2006
Last updated
07/21/2022
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