Southeast Anesthesia, Plc
NPI #1578163770 in Bowling Green, Kentucky
Provider Information
- NPI Number
- 1578163770
- Entity Type
- Organization
- Organization Name
- Southeast Anesthesia, Plc
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Oct 27, 2020
- Last Updated
- Oct 27, 2020
Practice Location
- Address
- 201 PARK ST
- City
- Bowling Green
- State
- Kentucky
- ZIP Code
- 42101-1742
- Phone
- (270) 781-5111
Authorized Official
- Name
- EDWARD MATTHEW DEMAREE, CRNA
- Title
- OWNER
- Phone
- (615) 865-5561
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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