Organization
SOUTHEAST ANESTHESIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON D MAULDIN (CFO)
(770) 387-0544
Entity
Organization
Contact information
Practice address
960 JOE FRANK HARRIS PKWY SE, ANESTHESIA DEPT, CARTERSVILLE, GA 30120-2129
(770) 382-1530
Mailing address
2 SOUTH AVE, CARTERSVILLE, GA 30120-3559
(770) 387-0544
(770) 387-0543
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
03/01/2007
Last updated
08/22/2020
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