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Organization

TMC-WEST GEORGIA ANESTHESIA ASSOCIATES INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JILL RAGSDALE (DIRECTOR OF FINANCE)
(334) 279-1450
Entity
Organization

Contact information

Practice address
705 DIXIE ST, CARROLLTON, GA 30117-3818
(334) 279-1450
(334) 279-1660
Mailing address
PO BOX 235019, MONTGOMERY, AL 36123-5019
(334) 279-1450
(334) 279-1660

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
367500000X
Certified Registered Nurse Anesthetist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
799101093A
GA
Enumeration date
02/02/2006
Last updated
03/21/2013
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