NPI age
19 years
Enumerated 2007-03-29
Across 2157 active nurse anesthetist, certified registered providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (VA) | 1821117680 | |
| 01 (VA) | P00415312 | RAILROAD MEDICARE |
Part of a multi-provider practice. 538 other active providers share this practice address in NPPES.
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