NPI 1649547068

Ahp - Gastro Gainesville, LLC

Organisation Certified Registered Nurse Anesthetist Gainesville, GA

Practice location

Address: 660 Lanier Park Dr, Gainesville, GA 30501-2075
Phone: (770) 536-8109
Fax: (678) 997-2127
Mailing address: 3079 Peachtree Industrial Blvd, Duluth, GA 30097-2215

Authorised official

Name: Frederick Stephen Moore
Title: Owner/Pres.
Phone: (770) 536-8109

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X

Other Nurse Anesthetist, Certified Registered providers in Georgia →

Registry record

NPI: 1649547068
Entity type: Organization
NPI issued: 30 Nov 2011
Record last updated: 18 Apr 2012

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.