NPI age
19 years
Enumerated 2006-06-06
Across 2157 active nurse anesthetist, certified registered providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (VA) | 010267803 | |
| 01 (NC) | 041883 | LIC. NUMBER |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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