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NPI Code Detail

MEDICARE: AHP OF GEORGIA, LLC

MEDICARE: AHP OF GEORGIA, LLC
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
1367500000XCertified Registered Nurse Anesthetist
2207L00000XAnesthesiology Physician

General Provider Information

NPI Number : 1467400481
Entity Type Code : Organization
Provider Name (Legal Business Name) : AHP OF GEORGIA, LLC
Provider Business Mailing Address
First Line : 550 PEACHTREE ST NE
Second Line : SUITE 1600
City : ATLANTA
State : GA
Zip : 30308-2208
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5671 PEACHTREE-DUNWOODY ROAD
Second Line : SUITE 680
City : ATLANTA
State : GA
Zip : 30342-5014
Country : US
Telephone Number : 404-705-6985
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : MR. SEAN LYNCH
Credential :
Telephone Number : 770-945-5330
Provider Enumeration Date : 05/04/2006
Last Update Date : 01/29/2010

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Directions to “AHP OF GEORGIA, LLC ” Practice Location

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