Organization
ATLANTA COSMETIC ANESTHESIA, LLC
Active
Organization
ATLANTA COSMETIC ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARIQ HAKKY MD (OWNER)
(404) 400-3120
Entity
Organization
Contact information
Practice address
371 E PACES FERRY RD NE STE 550, ATLANTA, GA 30305-2372
(404) 400-3120
Mailing address
371 E PACES FERRY RD NE STE 550, ATLANTA, GA 30305-2372
(404) 400-3120
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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