Jefferson Davis Anesthesia Inc.
NPI #1487885315 in Baton Rouge, Louisiana
Provider Information
- NPI Number
- 1487885315
- Entity Type
- Organization
- Organization Name
- Jefferson Davis Anesthesia Inc.
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Jul 27, 2009
- Last Updated
- Jul 27, 2009
Practice Location
- Address
- 13460 COURSEY BLVD
- City
- Baton Rouge
- State
- Louisiana
- ZIP Code
- 70816-4972
- Phone
- (225) 755-4141
Authorized Official
- Name
- RICKY CHARLES GRANGER, CRNA
- Title
- PRESIDENT
- Phone
- (225) 755-4141
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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