Radiance Anesthesia

Practice location

Address

577 Mulberry St STE 110, Macon, GA 31201-8220

Phone

(240) 469-2179

Mailing address

PO Box 850001 Dept 740j, Orlando, FL 32885-0740

Authorised official

Name

Richard E Douberly

Title

Director

Phone

(941) 360-1566

Registered specialties

Registry record

NPI

1194381236

Entity type

Organization

NPI issued

14 May 2019

Record last updated

2 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.