T E Anesthesia LLC

NPI #1376865857 in Macon, Georgia

Provider Information

NPI Number
1376865857
Entity Type
Organization
Organization Name
T E Anesthesia LLC
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Feb 24, 2010
Last Updated
Feb 24, 2010

Practice Location

Address
1854 FORSYTH ST
Address 2
SUITE 3
City
Macon
State
Georgia
ZIP Code
31201-1169
Phone
(478) 257-6923

Authorized Official

Name
WALTER T EDALGO, CRNA
Title
SOLE MEMBER
Phone
(478) 257-6923

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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