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1386918795
AMSURG GREENVILLE ANESTHESIA LLC
GREENVILLE, SC
NPI
1386918795
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Entity Type
Organization
Authorized Contact
PHILLIP CLENDENIN
President
615-665-1283
Organization Subpart ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
Enumeration Date
2012-03-02
Last Update Date
2016-08-09
Business Address
AMSURG GREENVILLE ANESTHESIA LLC
14 HAWTHORNE PARK CT
GREENVILLE, SC 29615-3194
Phone number: 864-331-0364
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Mailing Address
AMSURG GREENVILLE ANESTHESIA LLC
1A BURTON HILLS BLVD ATTN: PROVIDER ENROLLMENT
NASHVILLE, TN 37215-6187
Phone number: 615-240-3809
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