Individual
RODARLINE GERARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1133 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-5085
(678) 604-1053
Mailing address
901 HINDMAN PL, MCDONOUGH, GA 30253-8779
(678) 651-4976
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN261403
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN261403
GA
Other
Enumeration date
10/18/2021
Last updated
04/29/2022
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