Organization
CG ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY GORDON BARTON CRNA (MANAGING MEMBER)
(888) 408-0200
Entity
Organization
Contact information
Practice address
2950 STONE HOGAN CONNECTOR RD SW STE B, ATLANTA, GA 30331-2837
(888) 408-0200
Mailing address
PO BOX 1826, MABLETON, GA 30126-1003
(888) 408-0200
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
09/22/2018
Last updated
09/22/2018
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