Individual
JOHN G URBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
1968 PEACHTREE ROAD NW, ATLANTA, GA 30309-1281
(404) 351-1745
(404) 351-7121
Mailing address
1301 CONCORD TERRACE, SUNRISE, FL 33323-2843
(800) 243-3839
(954) 839-2569
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
086754
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN086754
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000712379H
—
GA
05
—
00712379
—
GA
Enumeration date
07/19/2006
Last updated
11/01/2010
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