Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Southeast Georgia Anesthesia LLC

Organization Anesthesiology Physician · NPI 1265518849

Southeast Georgia Anesthesia LLC is an Anesthesiology Physician in Waycross, Georgia. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

410 Darling Ave Anesthesia Dept
Waycross, GA 31501-5246
Phone: (336) 553-1659
Fax: (336) 553-3994
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X

Record details

NPI number1265518849
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keith Johnson — Member · (336) 553-1659
NPI enumeratedOctober 27, 2006
Last updated in NPPESNovember 30, 2010
Mailing addressPo Box 18824, Greensboro, NC 27419-8824

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