Organization
PROVIDENCE HOSPITAL
Active
Parent organization
PROVIDENCE HOSPITAL
Other names
Anesthesia Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVIDENCE HOSPITAL
Authorized official
MR. TODD S. KENNEDY (PRESIDENT)
(251) 633-1660
Entity
Organization
Contact information
Practice address
6801 AIRPORT BLVD, ANESTHESIA DEPT., MOBILE, AL 36608-3709
(251) 631-3272
(251) 631-3273
Mailing address
3687 WHEELER RD, AUGUSTA, GA 30909-6521
(800) 394-4445
(706) 396-3252
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
10/30/2013
Last updated
09/29/2015
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