Suwanee Anesthesia Service LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN054969 Issued in GA

Legal business name

SUWANEE ANESTHESIA SERVICE LLC

Practice address

3858 Shadow Loch Dr
Suwanee, GA 30024-7003

Phone

(478) 929-0036

Fax

(478) 929-1744

NPI assigned

Jun 6, 2013

Last updated

Jun 6, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert Wood, CRNA

Title

Ceo/President

Phone

(478) 929-0036

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370476800000",
    "number": "1093153538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 629",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310690629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3858 SHADOW LOCH DR",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300247003",
            "telephone_number": "478-929-0036",
            "fax_number": "478-929-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUWANEE ANESTHESIA SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-06",
        "last_updated": "2013-06-06",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "478-929-0036",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN054969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Certified Registered Nurse Anesthetist in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Certified Registered Nurse Anesthetist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.