Individual
ANITA UPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
804 SCOTT NIXON MEMORIAL DR, AUGUSTA, GA 30907-2464
(800) 394-4445
Mailing address
804 SCOTT NIXON MEMORIAL DR, AUGUSTA, GA 30907-2464
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN041100
GA
Other
Enumeration date
02/12/2007
Last updated
11/08/2007
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