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Organization

VERALYNN HEALTH MANAGEMENT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHARLES DERRICK WILSON CRNA (PRESIDENT)
(706) 845-1473
Entity
Organization

Contact information

Practice address
521 FRANKLIN SPRINGS ST, DEPT OF ANESTHESIA, ROYSTON, GA 30662-3934
(706) 245-5071
Mailing address
273 STOVALL RD, LAGRANGE, GA 30241-9094
(706) 845-1473
(336) 553-3994

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN065069
GA

Other

Enumeration date
11/07/2008
Last updated
12/17/2008
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