# NORTHSIDE ANESTHESIOLOGY CONSULTANTS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699228643
- **Authorized official:** KATHLEEN KONDAS (OFFICER)
- **Authorized official phone:** (954) 838-2371

## Contact information

- **Practice address:** 1000 JOHNSON FERRY RD, ATLANTA, GA 30342-1606
- **Practice address phone:** (770) 645-9181
- **Mailing address:** 3155 N POINT PKWY, F100, ALPHARETTA, GA 30005-5481

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367H00000X | Anesthesiologist Assistant | — | — | Yes |

## Other

- **Enumeration date:** 07/26/2016
- **Last updated:** 09/17/2019
