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Individual

WILLIAM ENRIQUE AGUDELO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
380 HOSPITAL DRIVE, SUITE 410, MACON, GA 31217-8014
(478) 746-5644
(478) 745-4849
Mailing address
PO BOX 2564, MACON, GA 31203-2565
(478) 746-5644
(478) 745-4849

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
APN2487
SC
367500000X
Certified Registered Nurse Anesthetist
APRN11042815
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
RN092922
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
AN1387
SC
Enumeration date
10/18/2005
Last updated
04/23/2026
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