Healthcare Provider Details

I. General information

NPI: 1821035775
Provider Name (Legal Business Name): OBAN ANESTHESIA CONSULTANTS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 03/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 LAUCHWOOD DR
LAURINBURG NC
28352-5501
US

IV. Provider business mailing address

2485 HEMBY LN SUITE A
GREENVILLE NC
27834-3701
US

V. Phone/Fax

Practice location:
  • Phone: 910-291-7781
  • Fax: 910-291-7435
Mailing address:
  • Phone: 888-549-1922
  • Fax: 888-864-1737

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: MARK ANTHONY HANSMAN
Title or Position: AUTHORIZED OFFICIAL
Credential: M.D.
Phone: 910-291-7781