Basic Information
| Provider Information | |||||||||
| NPI: | 1437307006 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ANESTHESIA CARE OF HENDERSON PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4194 MENDENHALL OAKS PKWY STE 160 | ||||||||
| Address2: | |||||||||
| City: | HIGH POINT | ||||||||
| State: | NC | ||||||||
| PostalCode: | 272658034 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3368991400 | ||||||||
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| Practice Location | |||||||||
| Address1: | 566 RUIN CREEK RD | ||||||||
| Address2: | |||||||||
| City: | HENDERSON | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275362927 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2524384143 | ||||||||
| FaxNumber: | 2524361114 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/08/2008 | ||||||||
| LastUpdateDate: | 09/08/2008 | ||||||||
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| AuthorizedOfficialLastName: | HILLIARD | ||||||||
| AuthorizedOfficialFirstName: | ALAN | ||||||||
| AuthorizedOfficialMiddleName: | DALE | ||||||||
| AuthorizedOfficialTitleorPosition: | CFO | ||||||||
| AuthorizedOfficialTelephone: | 3368991410 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.