Organization
TRI-COUNTY ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL KOPPENHAVER (PRESIDENT BILLING SERVICES)
(770) 874-5490
Entity
Organization
Contact information
Practice address
8954 HOSPITAL DR, DOUGLASVILLE, GA 30134-2272
(770) 920-6420
Mailing address
PO BOX 281491, ATLANTA, GA 30384-1491
(770) 874-5400
(770) 874-5469
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
11/19/2006
Last updated
08/22/2020
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