NPI age
19 years
Enumerated 2006-06-30
Across 2157 active nurse anesthetist, certified registered providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (NC) | 1902835218 | TRICARE |
| 01 (NC) | P01111638 | RAILROAD MEDICARE |
| 05 (NC) | 8052506 |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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