Organization
NORTH FULTON ANESTHESIA ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN K. WALTMANN M.D. (C.O.O.)
(770) 751-2623
Entity
Organization
Contact information
Practice address
4147 HUGHES LEA, TUCKER, GA 30084-1102
(770) 938-1011
Mailing address
4147 HUGHES LEA, TUCKER, GA 30084-1102
(770) 938-1011
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN108597
GA
Other
Enumeration date
01/20/2009
Last updated
01/20/2009
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