NPI age
19 years
Enumerated 2006-07-28
Across 2157 active nurse anesthetist, certified registered providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (MI) | 104323298 | |
| 01 (MI) | AW098999 | BLUE CROSS OF MI |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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