Ac Anesthesiology LLC

Organization Active NPI Certified Registered Nurse Anesthetist · Perry, GA

NPI 1467728808 · NPPES record last updated Mar 29, 2012

Key facts

NPI
1467728808
Entity type
Organization (NPI type 2)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
License
135680 (GA)
Legal business name
AC ANESTHESIOLOGY LLC
Practice address
807 Carroll St
Suite C
Perry, GA 31069-3311
Phone
(478) 929-0036
Fax
(478) 929-1744
NPI assigned
Mar 29, 2012
Organization subpart
No

Authorized official

Name
Mr. Paul Weir
Title
Administrator
Phone
(478) 929-0036

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist
Group: 193400000X SINGLE SPECIALTY GROUP
367500000X 135680 GA Yes

Addresses

Primary practice location

807 Carroll St
Suite C
Perry, GA 31069-3311

Mailing address

PO Box 629
Perry, GA 31069-0629
Phone (478) 929-0036

Other identifiers

IdentifierTypeStateIssuer
135680OtherGALICENSE

Other providers in Perry, GA

All providers in Perry, GA · Certified Registered Nurse Anesthetist in Georgia

Sources for this page

Verify at the official NPI Registry.