Evan Chase D'Hollosy, CAA
Anesthesiologist Assistant in Stockbridge, GA. Individual provider (NPI-1).
NPI number1689341653
StatusActive
Last updated in NPPESDec 3, 2021
Details
- NPI
- 1689341653
- Entity type
- Individual (NPI-1)
- Name
- Evan Chase D'Hollosy
- Credential
- CAA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 26, 2021
- Certification date
- Dec 3, 2021
- Last updated
- Dec 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 10719 | GA | Yes |
| 367H00000X | Anesthesiologist Assistant | – | – |
Practice location
1133 Eagles Landing PkwyStockbridge, GA 30281-5085
Phone 678-604-1000
Mailing address
437 Harper RdMcdonough, GA 30252-4957
Phone 770-696-7075
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