Southeast Mobile Anesthesia LLC

NPI #1033433503 in Hebron, Kentucky

Provider Information

NPI Number: 1033433503
Entity Type: Organization
Organization Name: Southeast Mobile Anesthesia LLC
Primary Specialty: Anesthesiology
Enumeration Date: Mar 26, 2010
Last Updated: Mar 26, 2010

Practice Location

Address: 1727 COACHTRAIL DR
City: Hebron
State: Kentucky
ZIP Code: 41048-8476
Phone: (859) 409-2022

Authorized Official

Name: DR. MARK JACKSON, MD
Title: PRESIDENT
Phone: (859) 409-2022

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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