Healthcare Provider Details

I. General information

NPI: 1447357868
Provider Name (Legal Business Name): CHILDREN'S ANESTHESIOLOGY CONSULTANTS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

993-D JOHNSON FERRY RD. SUITE300
ATLANTA GA
30342-0858
US

IV. Provider business mailing address

PO BOX 420858
ATLANTA GA
30342-0858
US

V. Phone/Fax

Practice location:
  • Phone: 404-250-1153
  • Fax:
Mailing address:
  • Phone: 404-250-1153
  • Fax: 404-303-0317

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number0033485
License Number StateGA

VIII. Authorized Official

Name: DR. MICHAEL STEPHEN WEINSTEIN
Title or Position: PRESIDENT
Credential: M.D
Phone: 404-250-1153