Healthcare Provider Details

I. General information

NPI: 1003111667
Provider Name (Legal Business Name): GI ANESTHETICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2011
Last Update Date: 01/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

748 OLD NORCROSS RD SUITE 250
LAWRENCEVILLE GA
30046-3393
US

IV. Provider business mailing address

5700 MIDNIGHT PASS RD SUITE 4
SARASOTA FL
34242-3083
US

V. Phone/Fax

Practice location:
  • Phone: 770-682-7220
  • Fax: 770-338-0410
Mailing address:
  • Phone: 888-337-3509
  • Fax: 941-328-3997

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. STEVEN J MORRIS
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 404-253-6820