SE Georgia Anesthesia, LLC

NPI #1518542919 in Vidalia, Georgia

Provider Information

NPI Number: 1518542919
Entity Type: Organization
Organization Name: SE Georgia Anesthesia, LLC
Primary Specialty: Anesthesiology
Enumeration Date: Mar 17, 2021
Last Updated: Nov 20, 2025

Practice Location

Address: 1 MEADOWS PKWY
City: Vidalia
State: Georgia
ZIP Code: 30474-8759
Phone: (888) 276-1910

Authorized Official

Name: MICHAEL HICKS
Title: PRESIDENT
Phone: (615) 373-7600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Anesthetist, Certified Registered	367500000X
Anesthesiology	207L00000X	Primary

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