# RIVERDALE ANESTHESIA ASSOCIATES, PC

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

## Provider details

- **NPI number:** 1790231579
- **Authorized official:** DANIEL H WORLEY (OFFICE MANAGER)
- **Authorized official phone:** (770) 478-9877

## Contact information

- **Practice address:** 11 UPPER RIVERDALE RD, RIVERDALE, GA 30274
- **Practice address phone:** (770) 478-9877
- **Mailing address:** PO BOX 961270, RIVERDALE, GA 30296-6903

## Taxonomy

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

## Other

- **Enumeration date:** 08/31/2016
- **Last updated:** 08/31/2016
