Amnestic, Llc is a health care provider in Marietta, GA. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||3950 Austell Rd, Austell, GA 30106-1121, US|
|Practice Location Phone||706-660-8505|
|Practice Location Fax||706-660-9390|
|Legal Business Name||AMNESTIC, LLC|
|Enumeration Date ?||May 16, 2012|
|Last Update Date ?||Oct 12, 2012|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Anesthesiology||Allopathic & Osteopathic Physicians||036450||Georgia|
|Anesthesiology||Allopathic & Osteopathic Physicians||Pain Medicine||036450||Georgia|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Amnestic, Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Dr. Hani David Sanusi (M.D.)|
|Authorized Official Title/Position||PRESIDENT|
|Authorized Official Phone Number||706-660-8505|