First Source Anesthesia, LLC
NPI #1558728907 in Macon, Georgia
Provider Information
- NPI Number
- 1558728907
- Entity Type
- Organization
- Organization Name
- First Source Anesthesia, LLC
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Jan 15, 2016
- Last Updated
- Aug 14, 2020
Practice Location
Authorized Official
- Name
- RICHARD DOUBERLY, CRNA
- Title
- MEMBER MANAGER
- Phone
- (888) 728-0882
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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