Organization
PROGRESSIVE ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN E BURNEY III (OWNER)
(770) 719-3240
Entity
Organization
Contact information
Practice address
1265 HIGHWAY 54 W STE 401, FAYETTEVILLE, GA 30214-4537
(770) 719-3240
(240) 342-3837
Mailing address
PO BOX 117714, ATLANTA, GA 30368-7714
(770) 719-3240
(240) 342-3837
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
07/20/2011
Last updated
04/19/2023
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