Unknown Individual – Anesthesiologist Assistant, NPI 1992869317
Anesthesiologist Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
677, Church Street Northeast, Elizabeth, Marietta, Cobb County, Georgia, 30060, United States
MARIETTA, GA 300601101
Phone: (770) 794-0477
Fax: (770) 794-3108
Type: Location
300, Amberidge Trail Northwest, Atlanta, Fulton County, Georgia, 30328, United States
ATLANTA, GA 303282805
Phone:
Type: Mailing
1156 WINBORN TRL NW
KENNESAW, GA 301526983
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30060)
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