Organization
SALEM PROFESSIONAL ANESTHESIA SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM NITZ (OWNER)
(336) 624-1648
Entity
Organization
Contact information
Practice address
128 PEACHTREE LN STE B, ADVANCE, NC 27006-6783
(336) 998-3396
Mailing address
128 PEACHTREE LN STE B, ADVANCE, NC 27006-6783
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
02/02/2013
Last updated
02/02/2013
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