Organization
VITUITY-GEORGIA ANESTHESIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEOPHILE G. KOURY MD (PRESIDENT)
(510) 350-2600
Entity
Organization
Contact information
Practice address
5401 LAKE OCONEE PKWY, GREENSBORO, GA 30642-4232
(706) 453-7331
Mailing address
2100 POWELL ST STE 400, EMERYVILLE, CA 94608-1872
(510) 851-7501
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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