Individual
DR. DIANE POWE-CRONIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4619 GANN XING SW, SMYRNA, GA 30082-4473
(229) 269-2751
Mailing address
4619 GANN XING SW, SMYRNA, GA 30082-4473
(229) 269-2751
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2058
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37370
AANA
SC
Enumeration date
03/08/2006
Last updated
06/16/2015
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