Organization
GREATER ANESTHESIA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA BECK (CFO)
(404) 403-8310
Entity
Organization
Contact information
Practice address
1388 WELLBROOK CIR NE, SUITE A, CONYERS, GA 30012-3872
(770) 929-9033
(770) 929-9092
Mailing address
PO BOX 11407 DEPT 2319, BIRMINGHAM, AL 35246-2319
(770) 929-9033
(770) 929-9092
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
052931
GA
Other
Enumeration date
06/24/2008
Last updated
02/20/2020
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