Organization
WEST GA. NURSE ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAY W. LEE (OFFICE MANAGER)
(770) 832-1444
Entity
Organization
Contact information
Practice address
105 PARK PLACE WAY, SUITE 100, CARROLLTON, GA 30117-1960
(770) 832-1444
(770) 830-0990
Mailing address
105 PARK PLACE WAY, SUITE 100, CARROLLTON, GA 30117-1960
(770) 832-1444
(770) 830-0990
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
10/19/2007
Last updated
10/19/2007
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