Organization
ALL STAR ANESTHESIA, LLC
Active
Other names
ASA Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
STAR ROGERS (OWNER)
(404) 205-1889
Entity
Organization
Contact information
Practice address
600 PHIPPS BLVD NE, # 2512, ATLANTA, GA 30326-3336
(404) 205-1889
Mailing address
600 PHIPPS BLVD NE, # 2512, ATLANTA, GA 30326-3336
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
73636
GA
Other
Enumeration date
08/02/2016
Last updated
02/17/2022
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