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Organization
PREMIER ANESTHESIA OF MONTGOMERY PC
Active
Organization
PREMIER ANESTHESIA OF MONTGOMERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY WALKER (VP FINANCE)
(678) 690-7812
Entity
Organization
Contact information
Practice address
2105 EAST SOUTH BLVD, MONTGOMERY, AL 36116
(770) 643-5500
(404) 941-1304
Mailing address
2655 NORTHWINDS PKWY, ALPHARETTA, GA 30009-2280
(855) 220-3662
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
NULL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
207L00000X
Anesthesiology Physician
Primary
—
AL
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
NULL
367500000X
Certified Registered Nurse Anesthetist
—
—
367H00000X
Anesthesiologist Assistant
—
NULL
367H00000X
Anesthesiologist Assistant
—
—
Other
Enumeration date
05/16/2006
Last updated
05/13/2026
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