Physician's Anesthesia Services, L.l.c.

NPI #1144588955 in Locust Grove, Georgia

Provider Information

NPI Number
1144588955
Entity Type
Organization
Organization Name
Physician's Anesthesia Services, L.l.c.
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Apr 30, 2012
Last Updated
Jun 17, 2014

Practice Location

Address
4865 BILL GARDNER PKWY
State
Georgia
ZIP Code
30248-3644
Phone
(770) 692-0100

Authorized Official

Name
MRS. ARUNA R. PRAKASH, B.SC
Title
ADMINISTRATOR
Phone
(770) 692-0100

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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