MEDICARE: RBO ANESTHESIA ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	63721	GA

General Provider Information

NPI Number	:	1427483171
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RBO ANESTHESIA ASSOCIATES

Provider Business Mailing Address
First Line	:	PO BOX 669
Second Line	:
City	:	ALPHARETTA
State	:	GA
Zip	:	30009-0669
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3161 HOWELL MILL RD NW
Second Line	:	SUITE 300
City	:	ATLANTA
State	:	GA
Zip	:	30327-2135
Country	:	US
Telephone Number	:	404-772-9209
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATIVE
Name	:	JANESSA LEVY
Credential	:
Telephone Number	:	404-351-6307

Provider Enumeration Date	:	09/12/2013
Last Update Date	:	09/12/2013

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