NPI 1255582623
Maximus Anesthesia Services LLC
Practice location
- Address
- 4030 Riverside Park Blvd, Macon, GA 31210-1365
- Phone
- (478) 474-2200
- Fax
- (478) 314-0740
- Mailing address
- 6094 14th St W # 119, Bradenton, FL 34207-4104
Authorised official
- Name
- William Alexander Leatherwood
- Title
- President
- Phone
- (478) 986-8027
Registered specialties
Certified Registered Nurse Anesthetist
Primary
Registry record
- NPI
- 1255582623
- Entity type
- Organization
- NPI issued
- 3 Oct 2008
- Record last updated
- 3 Oct 2008
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.