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NPI Code Detail

MEDICARE: CGI ANESTHESIA ASSOCIATES LLC

MEDICARE: CGI 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
1207L00000XAnesthesiology PhysicianOH
2367500000XCertified Registered Nurse Anesthetist

General Provider Information

NPI Number : 1174914352
Entity Type Code : Organization
Provider Name (Legal Business Name) : CGI ANESTHESIA ASSOCIATES LLC
Provider Business Mailing Address
First Line : 5127 HIGHWAY 17 SOUTH
Second Line :
City : MURRELLS INLET
State : SC
Zip : 29576-5045
Country : US
Telephone Number : 843-651-2624
Fax Number : 843-491-4023
Provider Business Practice Location Address
First Line : 4746 MONTGOMERY RD
Second Line : SUITE 202
City : CINCINNATI
State : OH
Zip : 45212-2622
Country : US
Telephone Number : 513-451-6001
Fax Number :
Authorized Official
Title or Position : MANAGING MEMBER
Name : DR. DAVID D HESS
Credential : M.D.
Telephone Number : 513-451-6001
Provider Enumeration Date : 02/10/2015
Last Update Date : 03/12/2015

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Directions to “CGI ANESTHESIA ASSOCIATES LLC ” Practice Location

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