Individual
TAGEL ELIZABETH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1499 FAIR RD, STATESBORO, GA 30458-1683
(912) 486-1000
Mailing address
2570 BLYTH LN, SNELLVILLE, GA 30078-5919
(770) 940-9188
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN270757
GA
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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