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1376180083
PROMINENCE ANESTHESIA
MACON, GA
NPI
1376180083
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Entity Type
Organization
Authorized Contact
KIRBY KITCHENS
Manager
229-886-5347
Organization Subpart ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
Enumeration Date
2019-12-02
Last Update Date
2020-01-28
Business Address
PROMINENCE ANESTHESIA
577 MULBERRY ST STE 110
MACON, GA 31201-8220
Phone number: 240-469-2179
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Mailing Address
PROMINENCE ANESTHESIA
PO BOX 850001 DEPT 740P
ORLANDO, FL 32885-0001
Phone number:
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