Organization
ANESTHESIA SERVICES OF NORTH GEORGIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN DAVIDSON CRNA (OWNER)
(404) 731-9686
Entity
Organization
Contact information
Practice address
625 S ENOTA DR NE, GAINESVILLE, GA 30501-2437
(770) 532-0292
Mailing address
PO BOX 660685, BIRMINGHAM, AL 35266-0685
(205) 979-5882
(205) 979-1248
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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