Provider Demographics
NPI:1629525100
Name:EHI ANESTHESIA ASSOCIATES, LLC.
Entity Type:Organization
Organization Name:EHI ANESTHESIA ASSOCIATES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.O.O./V.P.
Authorized Official - Prefix:
Authorized Official - First Name:MITCHELL
Authorized Official - Middle Name:P
Authorized Official - Last Name:HILSEN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:770-384-0284
Mailing Address - Street 1:900 CIRCLE 75 PKWY.
Mailing Address - Street 2:STE. 900
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-3084
Mailing Address - Country:US
Mailing Address - Phone:770-384-0284
Mailing Address - Fax:404-446-1957
Practice Address - Street 1:900 CIRCLE 75 PKWY.
Practice Address - Street 2:STE. 900
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-3084
Practice Address - Country:US
Practice Address - Phone:770-384-0284
Practice Address - Fax:404-446-1957
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EHI ANCILLARY HOLDINGS, LLC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty