Organization
PHYSICIAN'S ANESTHESIA SERVICES, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ARUNA R. PRAKASH B.SC (ADMINISTRATOR)
(770) 692-0100
Entity
Organization
Contact information
Practice address
4865 BILL GARDNER PKWY, LOCUST GROVE, GA 30248-3644
(770) 692-0100
(843) 357-4940
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(714) 347-1010
(714) 647-1245
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
12003075
GA
Other
Enumeration date
04/30/2012
Last updated
06/17/2014
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