Individual
LORRI R. SOUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6335 HOSPITAL PKWY, SUITE 111, JOHNS CREEK, GA 30097-1549
(770) 712-4616
(770) 495-1585
Mailing address
6335 HOSPITAL PKWY, SUITE 111, JOHNS CREEK, GA 30097-1549
(770) 712-4616
(770) 495-1585
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN128961
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000947119B
—
GA
05
—
000947119C
—
GA
05
—
000947119D
—
GA
05
—
000947119E
—
GA
05
—
000947119F
—
GA
05
—
000947119G
—
GA
05
—
000947119H
—
GA
Enumeration date
10/05/2005
Last updated
03/06/2012
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