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Individual

MR. DONALD WESLEY UNDERWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
125 GANDY HILL RD, BAINBRIDGE, GA 39819-7771
(229) 246-4915
Mailing address
950 PARKMONT CIR W, MOBILE, AL 36608-4346
(251) 343-4329
(251) 343-3222

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1-029896
AL
367500000X
Certified Registered Nurse Anesthetist
616589
TX
367500000X
Certified Registered Nurse Anesthetist
ARNP3042242
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
RN103245
GA

Other

Enumeration date
10/10/2005
Last updated
07/08/2007
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