Provider Demographics
NPI:1679882039
Name:EIRING ANESTHESIA ASSOCIATES, P.C.
Entity type:Organization
Organization Name:EIRING ANESTHESIA ASSOCIATES, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:K
Authorized Official - Last Name:DORR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-364-4171
Mailing Address - Street 1:211 PLEASANT HOME RD STE 5
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30907-0518
Mailing Address - Country:US
Mailing Address - Phone:706-364-4171
Mailing Address - Fax:706-364-4171
Practice Address - Street 1:3658 J DEWEY GRAY CIR
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-6424
Practice Address - Country:US
Practice Address - Phone:706-651-2020
Practice Address - Fax:706-364-4171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-04
Last Update Date:2018-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty