Individual
MS. ANN J STROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1700 MEDICAL WAY, SNELLVILLE, GA 30078-2195
(770) 979-9996
Mailing address
PO BOX 3559, SUWANEE, GA 30024-0993
(770) 979-9996
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
84532
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
RN154095
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00126662
—
MS
05
—
100851390A
—
OK
05
—
104691875
—
MI
05
—
136523701
—
AR
05
—
1562432
—
LA
05
—
172580601
—
TX
05
—
200381360A
—
KS
05
—
200457710A
—
IN
05
—
2460555
—
OH
05
—
274911
—
OR
05
—
3496653
—
TN
05
—
422400000
—
ME
05
—
4303416
—
MT
05
—
794273
—
AZ
05
—
8051846
—
NC
05
—
8949531
—
VA
05
—
913914115
—
MO
05
—
GAN375
—
SC
Enumeration date
06/27/2005
Last updated
06/28/2011
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