Organization
ABC ANESTHESIA ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA GOLDSMITH (PRACTICE ADMINISTRATOR)
(404) 408-3100
Entity
Organization
Contact information
Practice address
2176 INGLESIDE AVE, MACON, GA 31204-2030
(404) 408-3100
Mailing address
2176 INGLESIDE AVE, MACON, GA 31204-2030
(404) 408-3100
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003203727A
—
GA
Enumeration date
04/25/2019
Last updated
04/25/2019
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