Organization
ANESTHESIA ASSOCIATES OF DALTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHAEL MORRISON (CREDENTIALING MANAGER)
(423) 310-1642
Entity
Organization
Contact information
Practice address
1200 MEMORIAL DR, DALTON, GA 30720-2529
(706) 271-0100
(706) 270-0487
Mailing address
PO BOX 2563, DALTON, GA 30722-2563
(706) 271-0100
(706) 270-0487
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55000420A
—
GA
01
—
CJ0889
RAILROAD MEDICARE
GA
Enumeration date
10/04/2006
Last updated
09/21/2015
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