Healthcare Provider Details

I. General information

NPI: 1548482060
Provider Name (Legal Business Name): AMSOL ANESTHETISTS OF DUNN NC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 08/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 TILGHMAN DR
DUNN NC
28334-5510
US

IV. Provider business mailing address

PO BOX 2644
BIRMINGHAM AL
35202-2644
US

V. Phone/Fax

Practice location:
  • Phone: 910-892-7161
  • Fax:
Mailing address:
  • Phone: 205-322-1808
  • Fax: 205-322-1851

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: ALAN DALE HILLIARD
Title or Position: CFO
Credential:
Phone: 336-688-7011