Organization
NORTHWEST GEORGIA ANESTHESIA ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARIF A AZIZ MD (PRESIDENT)
(678) 741-5000
Entity
Organization
Contact information
Practice address
711 CANTON RD NE, SUITE 300, MARIETTA, GA 30060-8948
(678) 741-5000
(770) 944-4520
Mailing address
711 CANTON RD NE, SUITE 300, MARIETTA, GA 30060-8948
(678) 741-5000
(770) 944-4520
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003106791A
—
GA
01
—
202G708554
MEDICARE PTAN
GA
Enumeration date
10/13/2010
Last updated
12/10/2014
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