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
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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