Organization
ADVANCED ANESTHESIA ASSOCIATES, PC
Active
Other names
Riverdale Anesthesia Associates, PC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL H. WORLEY (OFFICE ADMINISTRATOR)
(770) 478-9877
Entity
Organization
Contact information
Practice address
5126 HOSPITAL DR NE, COVINGTON, GA 30014-2566
(770) 478-9877
(770) 478-2908
Mailing address
405 ARROWHEAD BLVD, SUITE C, JONESBORO, GA 30236-1254
(770) 478-9877
(770) 478-2908
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
207L00000X
GA
208VP0000X
Pain Medicine Physician
208VP0000X
GA
367500000X
Certified Registered Nurse Anesthetist
367500000X
GA
367H00000X
Anesthesiologist Assistant
367H00000X
GA
Other
Enumeration date
10/28/2005
Last updated
12/10/2021
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