Organization
METRO WEST ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
H DAVID SANUSI MD (PRESIDENT)
(706) 660-8505
Entity
Organization
Contact information
Practice address
8954 HOSPITAL DR, DOUGLASVILLE, GA 30134-2272
(770) 949-1500
Mailing address
8954 HOSPITAL DR, DOUGLASVILLE, GA 30134-2272
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
491431789A
—
GA
Enumeration date
08/17/2006
Last updated
02/18/2010
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