NPI age
19 years
Enumerated 2006-11-13
Across 2157 active nurse anesthetist, certified registered providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000764244P | |
| 05 (GA) | 000764244R | |
| 01 (GA) | 580628385 | TRICARE |
| 01 (GA) | P01044804 | RAILROAD MEDICARE |
| 05 (GA) | 000764244T | |
| 05 (SC) | AN2969 | |
| 05 (GA) | 000764244S |
Part of a multi-provider practice. 44 other active providers share this practice address in NPPES.
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