Organization
STELLAR AMBULATORY ANESTHESIA CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY GRINER MD (OWNER)
(678) 230-7914
Entity
Organization
Contact information
Practice address
1150 HAMMOND DR, BLDG E, SUITE 600, ATLANTA, GA 30328-5334
(770) 516-1775
(770) 516-8768
Mailing address
3254 TWISTED BRANCHES LN, MARIETTA, GA 30068-2479
(770) 516-1775
(770) 516-8768
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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