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General NPI Number Information
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NPI Number | 1922540897
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Entity Type | Organization
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Legal Business Name | ANESTAT BILLING AND SUPPLY SERVICES, LLC
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Dates
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Enumeration Date | 11/09/2016
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 6135 PARK SOUTH DR SUITE 510
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City | CHARLOTTE
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State | NC
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Zip | 28210-3272
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Country | US
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Telephone | 941-748-0100
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Fax |
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Provider Business Mailing Address
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Address Line | 8440 HOLCOMB BRIDGE RD SUITE 560
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City | ALPHARETTA
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State | GA
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Zip | 30022-1838
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Country | US
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Telephone | 941-748-0100
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Fax |
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Authorized Official
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Title or Position | ATTORNY
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Name | MR. ROBERT STROUD
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Credential |
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Telephone | 941-748-0100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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