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1932763190
BRILLIANCE ANESTHESIA
MACON, GA
NPI
1932763190
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Entity Type
Organization
Authorized Contact
KIRBY KITCHENS
Manager
240-469-2179
Organization Subpart ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
Enumeration Date
2019-04-23
Last Update Date
2020-07-01
Business Address
BRILLIANCE ANESTHESIA
577 MULBERRY ST STE 110
MACON, GA 31201-8220
Phone number: 240-469-2179
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Mailing Address
BRILLIANCE ANESTHESIA
PO BOX 850001 DEPT 740-C
ORLANDO, FL 32885-0001
Phone number: 240-469-2179
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