Individual
MS. JANICE DUDLEY STAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
102 LAKEVIEW DR, SANDERSVILLE, GA 31082-9406
(478) 553-9898
Mailing address
PO BOX 73709, NEWNAN, GA 30271-3709
(770) 251-2060
(678) 854-9235
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
R037289
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN037289
GA
367500000X
Certified Registered Nurse Anesthetist
RN33665
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000556377A
—
GA
Enumeration date
08/09/2005
Last updated
03/11/2019
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