Organization
CSP ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY GORDON BARTON CRNA (MANAGING MEMBER)
(888) 408-0200
Entity
Organization
Contact information
Practice address
130 E MAIN ST STE 200, CANTON, GA 30114-2784
(888) 408-0200
Mailing address
PO BOX 4096, CANTON, GA 30114-0217
(888) 408-0200
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
09/22/2018
Last updated
12/11/2024
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