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1306036561
LIGHTHOUSE ANESTHESIA LLC
SAVANNAH, GA
NPI
1306036561
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Entity Type
Organization
Authorized Contact
TIMOTHY WALLACE
Authorized Representative
912-354-5357
Organization Subpart ?
No
Primary Taxonomy
207L00000X Anesthesiology
Enumeration Date
2007-07-25
Last Update Date
2008-01-08
Business Address
LIGHTHOUSE ANESTHESIA LLC
6605 ABERCORN ST ST. 108
SAVANNAH, GA 31405-5815
Phone number: 912-354-5357
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Mailing Address
LIGHTHOUSE ANESTHESIA LLC
804 SCOTT NIXON MEMORIAL DR
AUGUSTA, GA 30907-2464
Phone number: 800-394-4445
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