Organization
CAPITOL ANESTHESIOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAN KERSEY (ADMINISTRATOR)
(770) 968-9978
Entity
Organization
Contact information
Practice address
6649 LAKE DR, MORROW, GA 30260-2354
(770) 968-9978
(770) 968-9975
Mailing address
PO BOX 278, JONESBORO, GA 30237-0278
(770) 968-9978
(770) 968-9975
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
GA
Other
Enumeration date
05/27/2006
Last updated
01/10/2013
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