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NPI Code Detail

MEDICARE: REGIONAL ANESTHESIA ASSOCIATES LLC

MEDICARE: REGIONAL ANESTHESIA ASSOCIATES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist
2207L00000XAnesthesiology Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1GRP4062OTHERGAMEDICARE GROUP NUMBER

General Provider Information

NPI Number : 1063419893
Entity Type Code : Organization
Provider Name (Legal Business Name) : REGIONAL ANESTHESIA ASSOCIATES LLC
Provider Business Mailing Address
First Line : PO BOX 1380
Second Line :
City : COLUMBUS
State : GA
Zip : 31902-1307
Country : US
Telephone Number : 706-571-1427
Fax Number : 706-660-6472
Provider Business Practice Location Address
First Line : 700 CENTER ST
Second Line :
City : COLUMBUS
State : GA
Zip : 31901-1527
Country : US
Telephone Number : 706-571-1427
Fax Number : 706-660-6472
Authorized Official
Title or Position : PRESIDENT
Name : RAJESH ARORA
Credential : MD
Telephone Number : 706-571-1427
Provider Enumeration Date : 07/07/2005
Last Update Date : 01/31/2008

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Directions to “REGIONAL ANESTHESIA ASSOCIATES LLC ” Practice Location

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