Prominence Anesthesia

NPI #1376180083 in Macon, Georgia

Provider Information

NPI Number
1376180083
Entity Type
Organization
Organization Name
Prominence Anesthesia
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Dec 2, 2019
Last Updated
Jan 28, 2020

Practice Location

Address
577 MULBERRY ST STE 110
City
Macon
State
Georgia
ZIP Code
31201-8220
Phone
(240) 469-2179

Authorized Official

Name
KIRBY KITCHENS
Title
MANAGER
Phone
(229) 886-5347

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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