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Mr. Theron J Holtzclaw, AA
Anesthesiologist Assistant in Atlanta, Georgia
NPI 1073538955

Theron J Holtzclaw is an Anesthesiologist Assistant based in Fort Lauderdale, GA. Theron J Holtzclaw practices in Atlanta, GA and has the professional credentials of AA. The NPI Number for Theron J Holtzclaw is 1073538955 and holds a License No. 002172 (Georgia).

The current practice location address for Theron J Holtzclaw is 1968 Peachtree Road Nw, Atlanta, GA and can be reached out via phone at 404-351-1745 and via fax at 404-351-7121. You can also correspond with Theron J Holtzclaw through the mailing address at PO BOX 551420, FORT LAUDERDALE, FL - 33355-1420 (mailing address contact number: 800-243-3839).

Location: 1968 Peachtree Road Nw, Atlanta, GA, 33355-1420
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073538955
Provider Name
Theron J Holtzclaw
Credential
AA
Provider Entity Type
Individual
Gender
Male
Address
1968 Peachtree Road Nw, Atlanta, GA, 33355-1420
Phone Number
404-351-1745
Fax Number
404-351-7121
Provider Enumeration Date
07/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100001111 05 GA
100001111C 05 GA
institution
Provider Business Practice Location Address Details
Address
1968 Peachtree Road Nw
City
Atlanta
State
Georgia
Zip
30309-1281
Phone Number
404-351-1745
Fax Number
404-351-7121
person
Provider Business Mailing Address Details
Address
1968 Peachtree Road Nw
City
Atlanta
State
Georgia
Zip
30309-1281
Phone Number
404-351-1745
Fax Number
404-351-7121
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
002172 (Georgia)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Anesthesiologist Assistant
Speciality
-
Taxonomy
367H00000X
License No.
002172 (Georgia)
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
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