Organization
MIDTOWN UROLOGY ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENELLE FOOTE MD (OWNER)
(678) 592-8724
Entity
Organization
Contact information
Practice address
1924 PIEDMONT RD NE, ATLANTA, GA 30324-4117
(678) 592-8724
Mailing address
2625 PIEDMONT RD NE STE 56-671, ATLANTA, GA 30324-3086
(678) 592-8724
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
10/11/2023
Last updated
11/28/2023
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