Healthcare Provider Details

I. General information

NPI: 1437481314
Provider Name (Legal Business Name): ANESTHESIA MEDICAL CONSULTANTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2010
Last Update Date: 02/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 S MONTGOMERY AVE
SHEFFIELD AL
35660-6334
US

IV. Provider business mailing address

PO BOX 235022
MONTGOMERY AL
36123-5022
US

V. Phone/Fax

Practice location:
  • Phone: 334-386-2055
  • Fax: 334-396-6929
Mailing address:
  • Phone: 334-386-2055
  • Fax: 334-396-6929

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number StateAL

VIII. Authorized Official

Name: DR. MICHAEL C GOSNEY
Title or Position: PRESIDENT
Credential: M.D.
Phone: 334-386-2055