Organization
MOUNTAINSIDE ANESTHESIA CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMARIE SPILLANE M.D. (CEO)
(706) 299-5172
Entity
Organization
Contact information
Practice address
1266 HIGHWAY 515 S, JASPER, GA 30143-4872
(706) 301-5434
(706) 301-5438
Mailing address
1300 RIDENOUR BLVD NW STE 300, KENNESAW, GA 30152-4402
(770) 702-1806
(770) 693-0810
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
11/01/2006
Last updated
03/16/2021
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