AMBULATORY CARE ANESTHESIA, PC
Nursing Yellow Pages
Myrtle Beach, South Carolina
Provider NPI: 1033131990
Organization Information:Organization Name: AMBULATORY CARE ANESTHESIA, PC
Practice Location:
809 82ND PKWY MYRTLE BEACH, SC 29572 US
Tel: 843-692-1062 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
809 82ND PKWY MYRTLE BEACH, SC 29572 US
Tel: 843-692-1062 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 367H00000X | Physician Assistants & Advanced Practice Nursing Providers Anesthesiologist Assistant | ||
Y | 367500000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Anesthetist, Certified Registered |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
GP4352 | SC | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin