Organization
ADVANCED ANESTHESIA CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANESHA UPCHURCH (BILLING MANAGER)
(678) 459-4954
Entity
Organization
Contact information
Practice address
1462 MONTREAL RD STE 109, TUCKER, GA 30084-6904
(678) 459-4954
(678) 606-7631
Mailing address
PO BOX 956141, DULUTH, GA 30095-9503
(678) 459-4954
(678) 606-7631
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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