Organization
CONCORDIA REGIONAL PAIN SERVICE, LLC
Active
Parent organization
CONCORDIA ANESTHESIOLOGY, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONCORDIA ANESTHESIOLOGY, INC.
Authorized official
JARROD HUEY MD (CEO)
(404) 478-8785
Entity
Organization
Contact information
Practice address
2700 LIGHTHOUSE PT E, BALTIMORE, MD 21224-4777
(443) 599-4400
Mailing address
3475 LENOX RD NE, SUITE 655, ATLANTA, GA 30326-3227
(404) 478-8785
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
GA
Other
Enumeration date
11/19/2013
Last updated
05/27/2014
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