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Organization

REST EASY CRNA SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHARON G. COTTON CRNA (ADMINISTRATOR)
(843) 902-0143
Entity
Organization

Contact information

Practice address
101 SURGEONS DR, MYRTLE BEACH, SC 29579-5198
(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
367500000X
Certified Registered Nurse Anesthetist
Primary
3024
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
196585
MEDCOST
SC
05
AN1530
SC
Enumeration date
02/03/2007
Last updated
04/20/2008
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