Organization
PINNACLE ANESTHESIA OF WOODSTOCK, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN HAIM (CEO)
(770) 720-1063
Entity
Organization
Contact information
Practice address
1505 STONE BRIDGE PKWY, SUITE 200, WOODSTOCK, GA 30189-8251
(770) 926-9112
(770) 720-4508
Mailing address
125 GAY THOMPSON DR, CANTON, GA 30115-4745
(770) 720-1063
(770) 720-4508
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
05/19/2011
Last updated
07/12/2011
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