Organization
GP ANESTHESIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL WEIR (PRINCIPAL)
(706) 425-2239
Entity
Organization
Contact information
Practice address
3292 MOUNTAIN DR STE A, DECATUR, GA 30032-1102
(706) 623-4271
(706) 225-7217
Mailing address
PO BOX 310, WATKINSVILLE, GA 30677-0008
(888) 337-3509
(941) 328-3997
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN114614
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114614
CYB
GA
Enumeration date
06/02/2011
Last updated
05/25/2023
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