Organization
NASC ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY M. GALLUPS MD (CEO)
(770) 740-1860
Entity
Organization
Contact information
Practice address
2365 OLD MILTON PKWY, ALPHARETTA, GA 30009-2140
(770) 753-0053
(770) 753-0021
Mailing address
2365 OLD MILTON PKWY, ALPHARETTA, GA 30009-2140
(770) 753-0053
(770) 753-0021
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/21/2010
Last updated
09/21/2010
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