Anesthesia Consultants Of Georgia, Llc

LBN: Anesthesia Consultants Of Georgia, Llc
Anesthesia Consultants Of Georgia, Llc is an health care organization with primary practice located at 3974 Glen Park Dr , Lithonia GA 30038-3694. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Anesthesia Consultants Of Georgia, Llc can be contacted via phone (404) 403-4567, or through Polk, Marcus via phone (404) 403-4567.

Contact Information

Primary practice address
3974 Glen Park Dr Lithonia GA 30038-3694
Phone: (404) 403-4567
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Polk, Marcus Doctor of Medicine (MD)
Phone: (404) 403-4567

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 040758 Georgia

Profile Details

NPI number 1760752430
LBN Legal business name Anesthesia Consultants Of Georgia, Llc
DBA Doing business as
Authorized official Polk, Marcus Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2012
Last updated Jan 11th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760752430 NPPES
Georgia MEDICAID 003109750A

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