Organization
ANESTHESIA SERVICES OF GEORGIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN DAVIDSON CRNA (OWNER)
(404) 731-9686
Entity
Organization
Contact information
Practice address
7433 SPOUT SPRINGS RD, SUITE 101-60, FLOWERY BRANCH, GA 30542
(404) 731-9686
Mailing address
7433 SPOUT SPRINGS RD, SUITE 101-60, FLOWERY BRANCH, GA 30542
(404) 731-9686
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
10/01/2021
Last updated
02/14/2022
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