Organization
GULF COAST ANESTHESIA GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH R ELLINGTON MD (PRESIDENT)
(828) 210-9386
Entity
Organization
Contact information
Practice address
6002 BERRYHILL RD, MILTON, FL 32570-5062
(850) 626-7762
Mailing address
PO BOX 2297, ASHEVILLE, NC 28802-2297
(828) 210-9386
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
07/29/2011
Last updated
07/29/2011
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