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Organization

SIESTA ANESTHESIA OF GEORGIA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TYE MCCLELLAN (BILLING MANAGER)
(404) 933-8509
Entity
Organization

Contact information

Practice address
1600 MACY DR, ROSWELL, GA 30076-6349
(678) 870-7255
Mailing address
1600 MACY DR, ROSWELL, GA 30076-6349
(678) 870-7255

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
04/15/2026
Last updated
04/15/2026
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