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Maga Anesthesia, LLC

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

NPI number1801437751
StatusActive
Last updated in NPPESOct 2, 2019

Details

NPI
1801437751
Entity type
Organization (NPI-2)
Legal business name
Maga Anesthesia, LLC
Organization subpart
No
Enumeration date
Oct 2, 2019
Last updated
Oct 2, 2019

Taxonomy and licenses

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

Practice location

101 Preston Ct
Macon, GA 31210-5772

Phone 800-208-6014 · Fax 706-850-7733

Mailing address

Po Box 529
Watkinsville, GA 30677-0013

Phone 800-208-6017 · Fax 706-850-7733

Authorized official

Jeffrey K Nickell
Cfo
4043340961

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