Southern Anesthesia Consultants of Ga, LLC

Organization Active NPI Certified Registered Nurse Anesthetist · Macon, GA

NPI 1629317722 · NPPES record last updated Jul 23, 2013

Key facts

NPI
1629317722
Entity type
Organization (NPI type 2)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
Legal business name
SOUTHERN ANESTHESIA CONSULTANTS OF GA, LLC
Practice address
403 Lakeview PL
Macon, GA 31211-6127
Phone
(800) 394-0131
Fax
(478) 254-8119
NPI assigned
Feb 8, 2013
Organization subpart
No

Authorized official

Name
William E Agudelo, CRNA NPI 1174512602
Title
Owner
Phone
(800) 394-0131

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist
Group: 193400000X SINGLE SPECIALTY GROUP
367500000X Yes

Addresses

Primary practice location

403 Lakeview PL
Macon, GA 31211-6127

Mailing address

403 Lakeview PL
Macon, GA 31211-6127
Phone (800) 394-0131

Other providers in Macon, GA

All providers in Macon, GA · Certified Registered Nurse Anesthetist in Georgia

Sources for this page

Verify at the official NPI Registry.