NPI age
17 years
Enumerated 2008-07-09
Across 2157 active nurse anesthetist, certified registered providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 | 1114180239 | TRICARE |
| 05 (GA) | 670634888F | |
| 05 (GA) | 670634888E |
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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