Provider Demographics
NPI:1629427059
Name:EPIX ANESTHESIA OF ALABAMA LLC
Entity Type:Organization
Organization Name:EPIX ANESTHESIA OF ALABAMA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TIM
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:678-580-1349
Mailing Address - Street 1:3949 HOLCOMB BRIDGE RD STE 300
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CORNERS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-2208
Mailing Address - Country:US
Mailing Address - Phone:678-580-1349
Mailing Address - Fax:770-559-1231
Practice Address - Street 1:1080 HOLCOMB BRIDGE RD
Practice Address - Street 2:BUILDING 100 STE 330
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-6211
Practice Address - Country:US
Practice Address - Phone:678-580-1349
Practice Address - Fax:770-559-1231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-07
Last Update Date:2019-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
No367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Multi-Specialty