Individual
PAULA MOORE MCMICKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
180 ROAD 3 S, CARTERSVILLE, GA 30120-5509
(770) 382-4646
Mailing address
180 ROAD 3 S, CARTERSVILLE, GA 30120-5509
(770) 382-4646
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN149324
GA
Other
Enumeration date
06/17/2009
Last updated
06/17/2009
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