NPI age
20 years
Enumerated 2006-03-14
Across 2157 active nurse anesthetist, certified registered providers in Georgia.
4 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | RN138738 | GA RN LICENSE NUMBER |
| 01 (GA) | 052994 | RECERTIFICATION CARD |
Part of a multi-provider practice. 478 other active providers share this practice address in NPPES.
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