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Individual

MITCHELL CROSLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
745 POPLAR RD, NEWNAN, GA 30265-1618
(770) 400-1000
Mailing address
1509 PARKER ST, FRANKLINTON, LA 70438-1233
(985) 515-5013

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN134638
LA
367500000X
Certified Registered Nurse Anesthetist
2021024027
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
GAA-CRNA000409
GA

Other

Enumeration date
04/13/2020
Last updated
11/14/2022
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