Individual
DAVID I ANTOKAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
601 DALLAS HWY, VILLA RICA, GA 30180-1202
(770) 456-3000
(770) 456-3460
Mailing address
119 AMBULANCE DR, SUITE 202, CARROLLTON, GA 30117-3857
(770) 836-9666
(770) 836-9212
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11000385
FL
367500000X
Certified Registered Nurse Anesthetist
RN129608
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
464995055A
—
GA
Enumeration date
04/06/2006
Last updated
01/04/2019
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