NPI 1467017004 · live from the CMS NPI Registry
Branstiter Anesthesia Services, LLC
Anesthesiology in Charleston, SC. National Provider Identifier 1467017004, active.
NPI record
| NPI | 1467017004 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 1844 Wallace School Rd, Charleston, SC 29407 |
| Practice phone | 843-614-7304 |
| Mailing address | Po Box 1467, Columbia, SC 29202 |
| Enumerated | May 9, 2019 |
| Last updated | October 11, 2019 |
| Authorized official | Aly Branstiter, President |
| Other names | Branstiter Anesthesia Services, LLC |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Anesthetist, Certified Registered | 367500000X | — |
| Anesthesiologist Assistant | 367H00000X | — |
| Anesthesiology primary | 207L00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.