Organization
PATRIOT ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM D KING (PRESIDENT)
(352) 381-5413
Entity
Organization
Contact information
Practice address
462 ELMA G MILES PKWY, HINESVILLE, GA 31313-4000
(912) 369-9400
Mailing address
7956 VAUGHN RD # 165, MONTGOMERY, AL 36116-6625
(888) 829-0068
(334) 239-7654
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
GA
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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