Provider Demographics
NPI:1447357868
Name:CHILDREN'S ANESTHESIOLOGY CONSULTANTS, PC
Entity type:Organization
Organization Name:CHILDREN'S ANESTHESIOLOGY CONSULTANTS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:WEINSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-250-1153
Mailing Address - Street 1:PO BOX 420858
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-0858
Mailing Address - Country:US
Mailing Address - Phone:404-250-1153
Mailing Address - Fax:404-303-0317
Practice Address - Street 1:993-D JOHNSON FERRY RD.
Practice Address - Street 2:SUITE300
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-0858
Practice Address - Country:US
Practice Address - Phone:404-250-1153
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0033485207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty