South Central Anesthesia Associates INC

NPI #1194117242 in Alvaton, Kentucky

Provider Information

NPI Number: 1194117242
Entity Type: Organization
Organization Name: South Central Anesthesia Associates INC
Primary Specialty: Anesthesiology
Enumeration Date: Feb 26, 2015
Last Updated: Feb 26, 2015

Practice Location

Address: 155 STONE TRACE DR
City: Alvaton
State: Kentucky
ZIP Code: 42122-7809
Phone: (270) 779-6696

Authorized Official

Name: MR. JONATHAN DICKINSON
Title: CRNA/OWNER
Phone: (270) 779-6696

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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