Deep South Anesthesia, INC
NPI #1164738712 in Picayune, Mississippi
Provider Information
- NPI Number
- 1164738712
- Entity Type
- Organization
- Organization Name
- Deep South Anesthesia, INC
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Aug 20, 2010
- Last Updated
- Aug 20, 2010
Practice Location
- Address
- 801 GOODYEAR BLVD
- City
- Picayune
- State
- Mississippi
- ZIP Code
- 39466-3221
- Phone
- (601) 798-4711
Authorized Official
- Name
- JASON TODD LANE, CRNA
- Title
- CRNA/OWNER
- Phone
- (800) 204-0099
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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