NPI age
17 years
Enumerated 2009-04-22
Across 2157 active nurse anesthetist, certified registered providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 567635588A | |
| 01 (GA) | P00720946 | RAILROAD MEDICARE |
| 01 (GA) | 525983 | WELLCARE |
| 01 (GA) | 580628385 | TRICARE |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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