Anesthesia Services Of North Georgia LLC
Nurse Anesthetist, Certified Registered in Gainesville, GA. Organization (NPI-2).
NPI number1386216604
StatusActive
Last updated in NPPESJul 15, 2021
Details
- NPI
- 1386216604
- Entity type
- Organization (NPI-2)
- Legal business name
- Anesthesia Services Of North Georgia LLC
- Organization subpart
- No
- Enumeration date
- Jul 15, 2021
- Certification date
- Jul 15, 2021
- Last updated
- Jul 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | – | – | Yes |
Practice location
625 S Enota Dr NeGainesville, GA 30501-2437
Phone 770-532-0292
Mailing address
Po Box 660685Birmingham, AL 35266-0685
Phone 205-979-5882 · Fax 205-979-1248
Authorized official
Justin Davidson
Owner
4047319686
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