Organization
CHESTER ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY L. DODGE (MD)
(803) 581-3151
Entity
Organization
Contact information
Practice address
1 MEDICAL PARK DRIVE, CHESTER, SC 29706-9776
(803) 329-4626
Mailing address
PO BOX 13, COLUMBIA, SC 29202-0013
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
6992
SC
Other
Enumeration date
07/09/2008
Last updated
07/24/2008
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