Healthcare Provider Details

I. General information

NPI: 1366742538
Provider Name (Legal Business Name): COLUMBUS ANESTHESIA PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2010
Last Update Date: 01/02/2024
Certification Date: 01/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1130 TALBOTTON RD STE B
COLUMBUS GA
31904-8749
US

IV. Provider business mailing address

PO BOX 864678
ORLANDO FL
32886-0001
US

V. Phone/Fax

Practice location:
  • Phone: 706-641-6900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: PRAVINCHANDRA PATEL
Title or Position: MEMBER
Credential: MD
Phone: 615-345-6900