Organization
ORACLE ANESTHESIA OF GEORGIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA BRADLEY (ADMINISTRATOR)
(404) 593-4392
Entity
Organization
Contact information
Practice address
76 HIGHLAND PAVILION CT STE 133, HIRAM, GA 30141-3170
(800) 533-8210
Mailing address
PO BOX 370160, DECATUR, GA 30037-0160
(404) 403-4567
(404) 920-8185
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
09/16/2011
Last updated
06/12/2023
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