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NPI 1437194115 · live from the CMS NPI Registry

Blue Ridge Anesthesia Associates

Anesthesiology in Easley, SC. National Provider Identifier 1437194115, active.

NPI record

NPI1437194115 Type 2 · organization
StatusActive
Primary specialtyAnesthesiology 207L00000X
Practice location110b Bradley Ave, Easley, SC 29640
Practice phone803-855-7200
Mailing address255 W Michigan Ave, Jackson, MI 49201
EnumeratedJune 18, 2006
Last updatedOctober 23, 2007
Authorized officialMalcolm Rogers, Authorized Official

Taxonomies and licenses

TaxonomyCodeLicense
Anesthesiology primary207L00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.