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Organization

HENRY ANESTHESIA ASSOCIATES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MIMI SMOAK (PRACTICE ADMINISTRATOR)
(678) 604-1053
Entity
Organization

Contact information

Practice address
1133 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-5085
(678) 604-1053
Mailing address
1133 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-5085

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary

Other

Enumeration date
07/14/2008
Last updated
07/14/2008
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