Organization
AHP HOLDCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG WACHOWIAK (MANAGER)
(770) 945-5330
Entity
Organization
Contact information
Practice address
200 MEDICAL PARK BLVD, PETERSBURG, VA 23805-9274
(804) 862-5000
Mailing address
PO BOX 740209, ATLANTA, GA 30374-0209
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
06/24/2009
Last updated
06/24/2009
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