Antokal, David I

Antokal, David I is an individual health care provider with primary practice located at 601 Dallas Hwy , Villa Rica GA 30180-1202. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Antokal, David I can be contacted via phone (770) 456-3000.

Contact Information

Primary practice address
601 Dallas Hwy Villa Rica GA 30180-1202
Phone: (770) 456-3000
Fax: (770) 456-3460
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN129608 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APRN11000385 Florida

Profile Details

NPI number 1417910001
LBN Legal business name Antokal, David I
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Jan 4th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417910001 NPPES
Georgia MEDICAID 464995055A

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