Provider Demographics
NPI:1083391783
Name:SLEEP ANGEL ANESTHESIA
Entity Type:Organization
Organization Name:SLEEP ANGEL ANESTHESIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE ANESTHETIST
Authorized Official - Prefix:
Authorized Official - First Name:ANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:404-784-9400
Mailing Address - Street 1:923 GRASSMEADE WAY
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-2116
Mailing Address - Country:US
Mailing Address - Phone:404-784-9400
Mailing Address - Fax:
Practice Address - Street 1:1355 PEACHTREE ST NE STE 1600
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-3276
Practice Address - Country:US
Practice Address - Phone:404-888-7575
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty