Provider Demographics
NPI:1457716516
Name:NORTH PERIMETER ANESTHESIA LLC
Entity Type:Organization
Organization Name:NORTH PERIMETER ANESTHESIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MYRA
Authorized Official - Middle Name:C
Authorized Official - Last Name:STAMPS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-236-2405
Mailing Address - Street 1:PO BOX 117471
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30368-7471
Mailing Address - Country:US
Mailing Address - Phone:678-977-1753
Mailing Address - Fax:
Practice Address - Street 1:1100 JOHNSON FERRY ROAD
Practice Address - Street 2:SUITE 200
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-2073
Practice Address - Country:US
Practice Address - Phone:678-977-1753
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-16
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty