Organization
EXCELLENT ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYED A. HAIDER MD (AUTHORIZED OFFICIAL)
(770) 542-7636
Entity
Organization
Contact information
Practice address
211 PRIME PT, STE H, PEACHTREE CITY, GA 30269-3334
(941) 360-1566
(941) 358-9818
Mailing address
211 PRIME PT STE H, PEACHTREE CITY, GA 30269-3334
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
GA
367500000X
Certified Registered Nurse Anesthetist
—
GA
Other
Enumeration date
12/31/2013
Last updated
07/14/2020
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