Organization
PREMIER ANESTHESIA OF INDIANA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP SOCOLOFF (VP OF OPERATIONS)
(404) 941-1210
Entity
Organization
Contact information
Practice address
1000 E MAIN ST, DANVILLE, IN 46122-1948
(404) 941-1210
(404) 941-1304
Mailing address
2655 NORTHWINDS PKWY, ALPHARETTA, GA 30009-2280
(404) 941-1210
(404) 941-1304
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
01/07/2011
Last updated
02/17/2014
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