Organization
SPECTRUM ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL MERCER (OWNER)
(573) 579-9048
Entity
Organization
Contact information
Practice address
67 PEACHTREE PARK DR NE STE 101, ATLANTA, GA 30309-1318
(573) 579-9048
Mailing address
1639 BRADLEY PARK DR STE 500, COLUMBUS, GA 31904-3623
(573) 579-9048
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN219398
GA
Other
Enumeration date
10/12/2017
Last updated
10/12/2017
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