Organization
CITADEL ANESTHESIOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WESLEY ERIC KARCHER CRNA (PRESIDENT)
(770) 833-1422
Entity
Organization
Contact information
Practice address
718 SILVER MIST WAY, CANTON, GA 30114-8832
(770) 833-1422
Mailing address
718 SILVER MIST WAY, CANTON, GA 30114-8832
(770) 833-1422
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
68419
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN169969
GA
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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