Individual
TREVOR WEATHERSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1499 FAIR RD, STATESBORO, GA 30458-1683
(912) 486-1000
Mailing address
604 EMIT DEAL RD, STATESBORO, GA 30458-8680
(478) 494-4127
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN222507
GA
Other
Enumeration date
05/26/2020
Last updated
05/26/2020
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