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Search › Georgia › 101YP2500X

Jason Otwell

NPI 1275653172 · on the registry since 2007

Practice

Address
6111 Peachtree Dunwoody Rd Ne
Building C
Atlanta, GA 30328
Phone
(770) 396-0232
Fax
(770) 399-0007
Organisation at this address
Mobile Anesthesia Of Georgia Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia