Healthcare Provider Details

I. General information

NPI: 1811238058
Provider Name (Legal Business Name): TRISTATE ANESTHESIA SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2013
Last Update Date: 03/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4350 TOWNE CENTRE DR SUITE 2000B
EVANS GA
30809-3301
US

IV. Provider business mailing address

4350 TOWNE CENTRE DR SUITE 2000B
EVANS GA
30809-3301
US

V. Phone/Fax

Practice location:
  • Phone: 706-396-0613
  • Fax: 706-854-2149
Mailing address:
  • Phone: 706-396-0613
  • Fax: 706-854-2149

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DR. GEORGE DAVID VOLPITTO
Title or Position: OWNER
Credential: MD
Phone: 706-396-0613