Organization
ANESTHESIA BEIGNETS AND GUMBO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JATANDRA MORTON M.D. (OWNER)
(225) 772-5819
Entity
Organization
Contact information
Practice address
2167 BURNSIDE DR NW, ATLANTA, GA 30318-5861
(225) 772-5819
Mailing address
2167 BURNSIDE DR NW, ATLANTA, GA 30318-5861
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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