Dream Team Anesthesia Associates Inc
LBN: Dream Team Anesthesia Associates Inc
Dream Team Anesthesia Associates Inc is an health care organization with primary practice located at 807 Carroll St Ste C-2002 , Perry GA 31069-3311. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as the primary health care specialty.
Dream Team Anesthesia Associates Inc can be contacted via phone (855) 491-8869, or through Gist, Jennice H via phone (478) 929-0036.
Contact Information
Primary practice address
807 Carroll St Ste C-2002
Perry GA 31069-3311
Phone: (855) 491-8869
Fax: (478) 352-0095
Website:
Authorized official contact:
Name: Gist, Jennice H Certified Registered Nurse Anesthetist (CRNA)
Phone: (478) 929-0036
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X |
Profile Details
| NPI number | 1760989925 |
|---|---|
| LBN Legal business name | Dream Team Anesthesia Associates Inc |
| DBA Doing business as | |
| Authorized official | Gist, Jennice H Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 12th, 2018 |
| Last updated | Apr 13th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760989925 | NPPES |
| Georgia | Other | Q05682 | UPIN |
| Georgia | Other | RN134488 | UPIN |
| Georgia | MEDICAID | 664068606B | UPIN |
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