Anesthesia Consultants of Georgia, LLC

NPI #1760752430 in Lithonia, Georgia

Provider Information

NPI Number: 1760752430
Entity Type: Organization
Organization Name: Anesthesia Consultants of Georgia, LLC
Primary Specialty: Specialist
Enumeration Date: Jan 11, 2012
Last Updated: Jan 11, 2012

Practice Location

Address: 3974 GLEN PARK DR
City: Lithonia
State: Georgia
ZIP Code: 30038-3694
Phone: (404) 403-4567

Authorized Official

Name: DR. MARCUS POLK, M.D.
Title: OWNER/PRESIDENT
Phone: (404) 403-4567

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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