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Organization

GWINNETT ANESTHESIA SERVICE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DANIEL M CHAPMAN (GENERAL MANAGER)
(770) 963-9905
Entity
Organization

Contact information

Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30045-7694
(770) 963-9905
Mailing address
PO BOX 669, LAWRENCEVILLE, GA 30046-0669
(770) 963-9905

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
05/30/2006
Last updated
03/09/2010
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