Organization
AXIS ANESTHESIA ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BURNS MD (PRESIDENT)
(770) 459-3797
Entity
Organization
Contact information
Practice address
128 NORTH AVE NE, SUITE 100, ATLANTA, GA 30308-2329
(770) 459-3797
Mailing address
PO BOX 70243, MARIETTA, GA 30007-0243
(770) 578-1800
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH0477
RAILROAD MEDICARE
GA
Enumeration date
12/14/2006
Last updated
01/31/2008
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