Provider Demographics
NPI:1578891784
Name:DONALD S ALIFFI CRNA LLC
Entity Type:Organization
Organization Name:DONALD S ALIFFI CRNA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:S
Authorized Official - Last Name:ALIFFI
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:912-739-3843
Mailing Address - Street 1:PO BOX 247
Mailing Address - Street 2:
Mailing Address - City:HAGAN
Mailing Address - State:GA
Mailing Address - Zip Code:30429-0247
Mailing Address - Country:US
Mailing Address - Phone:912-739-3843
Mailing Address - Fax:
Practice Address - Street 1:501 EISENHOWER DR
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-2668
Practice Address - Country:US
Practice Address - Phone:912-354-2175
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-28
Last Update Date:2010-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA202G702216Medicare PIN
GADQ3672Medicare PIN