Organization
PROFESSIONAL ANESTHESIA ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET REYNOLDS CRNA (PARTNER)
(770) 745-5907
Entity
Organization
Contact information
Practice address
461 VININGS VINTAGE CIR, MABLETON, GA 30126
(770) 745-5907
Mailing address
461 VININGS VINTAGE CIR, MABLETON, GA 30126
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
02/23/2009
Last updated
02/23/2009
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