Healthcare Provider Details

I. General information

NPI: 1689689283
Provider Name (Legal Business Name): ANESTHESIA RESOURCES OF AUGUSTA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 RUSSELL ST ANESTHESIA DEPARTMENT
AUGUSTA GA
30904-4115
US

IV. Provider business mailing address

PO BOX 3525
AUGUSTA GA
30914-3525
US

V. Phone/Fax

Practice location:
  • Phone: 706-738-4925
  • Fax: 706-738-7227
Mailing address:
  • Phone: 706-868-0131
  • Fax: 706-854-0131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State

VIII. Authorized Official

Name: PAULA VARNEY
Title or Position: ADMINISTRATOR/PARTNER
Credential: CRNA
Phone: 706-868-0131