Pee Dee Anesthesia
NPI #1821056110 in Mullins, South Carolina
Provider Information
- NPI Number
- 1821056110
- Entity Type
- Organization
- Organization Name
- Pee Dee Anesthesia
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- May 3, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2928 E HIGHWAY 76
- City
- Mullins
- State
- South Carolina
- ZIP Code
- 29574-6039
- Phone
- (843) 431-2000
Authorized Official
- Name
- RICHARD C JOHNSON, CRNA
- Title
- PRESIDENT
- Phone
- (843) 431-2000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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