Greenbrier Valley Anesthesia LLC
NPI #1902849706 in Ronceverte, West Virginia
Provider Information
- NPI Number
- 1902849706
- Entity Type
- Organization
- Organization Name
- Greenbrier Valley Anesthesia LLC
- Primary Specialty
- General Practice
- Enumeration Date
- Jun 13, 2006
- Last Updated
- Apr 12, 2022
Practice Location
- Address
- 1320 MAPLEWOOD AVE
- City
- Ronceverte
- State
- West Virginia
- ZIP Code
- 24970-8016
- Phone
- (304) 647-6549
Authorized Official
- Name
- JENNIFER L JACKSON
- Title
- SENIOR DIR. OF PROVIDER ENROLLMENT
- Phone
- (615) 465-3334
Specialties & Taxonomy Codes
| Specialty |
|---|
| Anesthesiology |
| Nurse Anesthetist, Certified Registered |
| General Practice |
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