| NPI | 1649260738 |
|---|---|
| Former Legal Business Name | RIVERDALE ANESTHESIA ASSOCIATES, PC |
| Entity Type | Organization |
| Authorized Contact | DANIEL H. WORLEY Office Administrator 770-478-9877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 207L00000X) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: GA 208VP0000X) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: GA 367500000X) | |
| 367H00000X Anesthesiologist Assistant (Licence: GA 367H00000X) | |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2021-12-10 |