Elmwood Park Anesthesia Consultants
Anesthesiology, Critical Care Medicine in Atlanta, GA. Organization (NPI-2).
NPI number1306237706
StatusActive
Last updated in NPPESJun 17, 2025
Details
- NPI
- 1306237706
- Entity type
- Organization (NPI-2)
- Legal business name
- Elmwood Park Anesthesia Consultants
- Organization subpart
- No
- Enumeration date
- Feb 7, 2015
- Certification date
- Jun 17, 2025
- Last updated
- Jun 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207LC0200X | Anesthesiology, Critical Care Medicine | – | – | Yes |
| 208M00000X | Hospitalist | – | – |
Practice location
705 Juniper St NeAtlanta, GA 30308
Phone 404-873-2871
Mailing address
950 Eagles Landing Pkwy116
Stockbridge, GA 30281
Phone 313-587-3369
Authorized official
Gregory Evans
Owner
3135873369
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