| Tom M Fazlollah, CRNA | |
|
1000 Johnson Ferry Rd Ne, Atlanta, GA 30342-1606 | |
| (770) 645-9181 | |
| (770) 645-8455 |
| Full Name | Tom M Fazlollah |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1000 Johnson Ferry Rd Ne, Atlanta, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942296660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN047276 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tom M Fazlollah, CRNA 200 Mansell Ct E, Attn: Credentialing Dept., Suite 105, Roswell, GA 30076-4856 Ph: (770) 645-9181 | Tom M Fazlollah, CRNA 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342-1606 Ph: (770) 645-9181 |
Hannah L Steele, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 Phone: 770-645-9181 Fax: 770-645-8455 | |
Susan C. Osgood, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 Phone: 770-645-9181 Fax: 770-645-8455 | |
Lynnon Leana Connerly, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 550 Peachtree Street, Suite 1600, Atlanta, GA 30308 Phone: 404-253-6820 Fax: 404-874-1249 | |
Mrs. Shani G Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1968 Peachtree Rd., Nw, Atlanta, GA 30309 Phone: 404-351-1745 Fax: 404-351-7121 | |
Vivian S. Fontenot, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 Phone: 770-645-9181 Fax: 770-645-8455 | |
Charita Merchant, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1968 Peachtree Rd Nw, Atlanta, GA 30309 Phone: 678-216-0771 | |
Caitlin Quigley, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1405 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-785-5437 |