NPI age
19 years
Enumerated 2006-11-13
Across 2157 active nurse anesthetist, certified registered providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 760294324A | |
| 01 (GA) | P00094184 | RRMEDICARE |
| 05 (GA) | 760294324D | |
| 01 (GA) | 339033 | WELLCARE CMO |
| 05 (SC) | GAN513 | |
| 01 (GA) | 550789920 | TRICARE |
Part of a multi-provider practice. 1593 other active providers share this practice address in NPPES.
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