Classic City Anesthesia Associates

NPI #1619150745 in Athens, Georgia

Provider Information

NPI Number
1619150745
Entity Type
Organization
Organization Name
Classic City Anesthesia Associates
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Dec 12, 2007
Last Updated
Dec 12, 2007

Practice Location

Address
1720 EPPS BRIDGE PKWY
Address 2
SUITE 108-382
City
Athens
State
Georgia
ZIP Code
30606-6132
Phone
(706) 540-7780

Authorized Official

Name
MR. WALLACE S. PHILLIPS, CRNA
Title
PARACTICE MANAGER
Phone
(706) 549-2700

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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