Advanced Anesthesia Care

Organization Active NPI Anesthesiology Physician · Tucker, GA

NPI 1104679935 · NPPES record last updated Apr 10, 2024

Key facts

NPI
1104679935
Entity type
Organization (NPI type 2)
Primary specialty
Anesthesiology Physician 207L00000X
Legal business name
ADVANCED ANESTHESIA CARE
Practice address
1462 Montreal Rd Ste 109
Tucker, GA 30084-6904
Phone
(678) 459-4954
Fax
(678) 606-7631
NPI assigned
Apr 10, 2024
Organization subpart
No

Authorized official

Name
Tanesha Upchurch
Title
Billing Manager
Phone
(678) 459-4954

National Provider Directory

Locations

1462 Montreal Rd
Ste 109
Tucker, GA 30084
Phone (678) 257-7078

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207L00000X Yes

Addresses

Primary practice location

1462 Montreal Rd Ste 109
Tucker, GA 30084-6904

Mailing address

PO Box 956141
Duluth, GA 30095-9503
Phone (678) 459-4954

Other providers in Tucker, GA

All providers in Tucker, GA · Anesthesiology Physician in Georgia

Sources for this page

Verify at the official NPI Registry.