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Individual

MR. WILLIAM A WELCH SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
4280 N VALDOSTA RD, DEPT OF ANESTHESIA, VALDOSTA, GA 31602-6814
(229) 671-2066
Mailing address
184 DOUGLAS POINTE DR, BAINBRIDGE, GA 39819-5185
(229) 243-0045
(229) 243-0045

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1027000
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
RN056740
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
133164367G
GA
05
300032227A
GA
Enumeration date
06/30/2006
Last updated
03/24/2010
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