OrganizationActive
Advanced Anesthesia Care
NPI 1104679935 · Anesthesiology Physician · Tucker, GA
Provider details
- NPI number
- 1104679935
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Tanesha Upchurch, Billing Manager
Practice location
1462 Montreal Rd Ste 109
Tucker, GA 30084-6904
Phone: (678) 459-4954
Fax: (678) 606-7631
Mailing address
Po Box 956141
Duluth, GA 30095-9503
Registry dates
- Enumerated
- 2024-04-10
- Last updated
- 2024-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.