Provider Demographics
NPI:1558423202
Name:PREFERRED ANESTHESIA CONSULTANTS
Entity Type:Organization
Organization Name:PREFERRED ANESTHESIA CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.A.-CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BAXTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:706-266-6682
Mailing Address - Street 1:10 SPRING RIDGE TRL SW
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:GA
Mailing Address - Zip Code:30165-7836
Mailing Address - Country:US
Mailing Address - Phone:706-234-0480
Mailing Address - Fax:
Practice Address - Street 1:306 E 2ND AVE
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:GA
Practice Address - Zip Code:30161-3222
Practice Address - Country:US
Practice Address - Phone:706-291-2131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN116971282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access