Provider Demographics
NPI:1609504406
Name:IVIN ANESTHESIA, LLC
Entity Type:Organization
Organization Name:IVIN ANESTHESIA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:K
Authorized Official - Last Name:NICKELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-623-6699
Mailing Address - Street 1:1090 EXPERIMENT STATION RD UNIT 529
Mailing Address - Street 2:
Mailing Address - City:WATKINSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30677-5378
Mailing Address - Country:US
Mailing Address - Phone:706-623-6699
Mailing Address - Fax:706-850-7733
Practice Address - Street 1:1090 EXPERIMENT STATION RD UNIT 529
Practice Address - Street 2:
Practice Address - City:WATKINSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30677-5378
Practice Address - Country:US
Practice Address - Phone:706-623-6699
Practice Address - Fax:706-850-7733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-10
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty