Provider Demographics
NPI:1104077205
Name:O'RAND, EDWARD BRETT (PAA)
Entity type:Individual
Prefix:MR
First Name:EDWARD
Middle Name:BRETT
Last Name:O'RAND
Suffix:
Gender:M
Credentials:PAA
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:43 RAMSGATE RD
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31419-3257
Mailing Address - Country:US
Mailing Address - Phone:912-927-6919
Mailing Address - Fax:
Practice Address - Street 1:4700 WATERS AVENUE
Practice Address - Street 2:MEMORIAL HEALTH ANESTHESIA DEPT
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31404
Practice Address - Country:US
Practice Address - Phone:912-350-8977
Practice Address - Fax:912-350-7036
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-07
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA005456367H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant