NPI age
19 years
Enumerated 2006-07-18
Across 2157 active nurse anesthetist, certified registered providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00556685F | |
| 05 (GA) | 000556685H | |
| 05 (GA) | 639663690A | |
| 01 (GA) | R051263 | LICENSE |
Part of a multi-provider practice. 122 other active providers share this practice address in NPPES.
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