Provider Demographics
NPI:1689689283
Name:ANESTHESIA RESOURCES OF AUGUSTA, LLC
Entity Type:Organization
Organization Name:ANESTHESIA RESOURCES OF AUGUSTA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:
Authorized Official - Last Name:VARNEY
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:706-868-0131
Mailing Address - Street 1:PO BOX 3525
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30914-3525
Mailing Address - Country:US
Mailing Address - Phone:706-868-0131
Mailing Address - Fax:706-854-0131
Practice Address - Street 1:915 RUSSELL ST
Practice Address - Street 2:ANESTHESIA DEPARTMENT
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30904-4115
Practice Address - Country:US
Practice Address - Phone:706-738-4925
Practice Address - Fax:706-738-7227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAGRP5156Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER