Organization
SIESTA ANESTHESIA SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TAJ K. EUBANKS M.D. (AUTHORIZED OFFICIAL)
(404) 376-3639
Entity
Organization
Contact information
Practice address
100 HARTSFIELD CENTER PKWY, SUITE 500, ATLANTA, GA 30354-1341
(404) 376-3639
Mailing address
100 HARTSFIELD CENTER PKWY, SUITE 500, ATLANTA, GA 30354-1341
(404) 376-3639
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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