Organization
COLLINS ANESTHESIA ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK MANNING III (BILLING CONTACT)
(706) 660-8505
Entity
Organization
Contact information
Practice address
4000 HIGHWAY 9 E, LITTLE RIVER, SC 29566-7833
(843) 390-8100
Mailing address
PO BOX 2585, COLUMBUS, GA 31902-2585
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2672
—
SC
Enumeration date
08/15/2006
Last updated
08/22/2020
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