Organization
COASTAL ANESTHESIA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERMAN PHILLIPS CCP, CRT,MMSC, PA (ANESTHESIOLOGIST ASSISTANT)
(770) 617-7224
Entity
Organization
Contact information
Practice address
501 SWEETFERN LN, SUITE B, SUGAR HILL, GA 30518-7612
(770) 617-7224
Mailing address
501 SWEETFERN LN, SUITE B, SUGAR HILL, GA 30518-7612
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
005161
GA
Other
Enumeration date
12/05/2007
Last updated
12/07/2007
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