Organization
NEW LONDON ANESTHESIA & PAIN CONSULTANTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY F. CHESIN (ADMINISTRATOR)
(770) 979-9996
Entity
Organization
Contact information
Practice address
1700 MEDICAL WAY, SNELLVILLE, GA 30078-2195
(770) 979-9996
(770) 979-1202
Mailing address
PO BOX 3559, SUWANEE, GA 30024-0993
(770) 979-9996
(770) 979-1202
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
GA
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
GA
367500000X
Certified Registered Nurse Anesthetist
—
GA
367H00000X
Anesthesiologist Assistant
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
156416500
DEPT. OF LABOR
GA
01
—
CI0147
RAILROAD MEDICARE
GA
Enumeration date
08/30/2006
Last updated
07/21/2022
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