NPI age
20 years
Enumerated 2005-08-11
Across 2157 active nurse anesthetist, certified registered providers in Georgia.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (IA) | 0429712 | |
| 01 (IA) | 36135 | BLUE CROSS |
| 05 (KY) | 7100660990 | |
| 05 (IN) | 300037720 |
Part of a multi-provider practice. 495 other active providers share this practice address in NPPES.
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