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Cardinal Anesthesia

Nurse Anesthetist, Certified Registered in Macon, GA. Organization (NPI-2).

NPI number1164070546
StatusActive
Last updated in NPPESJan 28, 2020

Details

NPI
1164070546
Entity type
Organization (NPI-2)
Legal business name
Cardinal Anesthesia
Organization subpart
No
Enumeration date
Aug 29, 2019
Certification date
Jan 28, 2020
Last updated
Jan 28, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified Registered––Yes

Practice location

577 Mulberry St Ste 110
Macon, GA 31201-8220

Phone 240-469-2179

Mailing address

Po Box 850001 Dept 740n
Orlando, FL 32885-0001

Phone 240-469-2179

Authorized official

Kirby Kitchen
Manager
2298865347

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