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1871861823
MIDSTATE ANESTHESIA, LLC
MACON, GA
NPI
1871861823
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Entity Type
Organization
Authorized Contact
CALTON BRUCE HUCKABY
Owner
478-464-2600
Organization Subpart ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
Enumeration Date
2011-12-06
Last Update Date
2012-03-26
Business Address
MIDSTATE ANESTHESIA, LLC
610 3RD ST STE 206
MACON, GA 31201-3262
Phone number: 478-464-2600
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Mailing Address
MIDSTATE ANESTHESIA, LLC
610 3RD ST STE 206
MACON, GA 31201-3262
Phone number: 478-464-2600
Copy
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