Individual
DUSTIN CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
901 18TH ST E, TIFTON, GA 31794-3648
(229) 353-6124
(229) 353-7722
Mailing address
276 BELFLOWER RD, TIFTON, GA 31794-1607
(229) 392-8840
(478) 333-6117
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN167296
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN167296
STATE LICENSE
GA
Enumeration date
05/10/2012
Last updated
05/18/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us