NPI 1336328293
Ambulatory Surgery Anesthesia LLC
Practice location
- Address
- 475 Philip Blvd Suite 304, Lawrenceville, GA 30045-8737
- Phone
- (678) 377-8252
- Mailing address
- PO Box 8846, Greensboro, NC 27419-0846
Authorised official
- Name
- Bhuvanendram Indrakrishnan
- Title
- Sole Member
- Phone
- (678) 377-8252
Registered specialties
Certified Registered Nurse Anesthetist
Primary
Registry record
- NPI
- 1336328293
- Entity type
- Organization
- NPI issued
- 29 Oct 2007
- Record last updated
- 30 Oct 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.