Provider Demographics
NPI:1558311423
Name:REGIONAL OBSTETRIC ANESTHESIA ASSOCIATES LLC
Entity Type:Organization
Organization Name:REGIONAL OBSTETRIC ANESTHESIA ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:H
Authorized Official - Last Name:ELROD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-226-6542
Mailing Address - Street 1:PO BOX 2308
Mailing Address - Street 2:
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30722-2308
Mailing Address - Country:US
Mailing Address - Phone:706-226-6542
Mailing Address - Fax:706-226-1273
Practice Address - Street 1:1800 HUNTINGTON WOODS RD
Practice Address - Street 2:
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30720-3838
Practice Address - Country:US
Practice Address - Phone:706-226-6542
Practice Address - Fax:706-226-1273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty