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Individual

MS. DEBORAH MARIE DRAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
303 PARKWAY DR NE, ATLANTA, GA 30312-1212
(678) 572-7535
Mailing address
479 RISING STAR RD, BROOKS, GA 30205-1525
(678) 572-7535

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
ARNP9170541
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
RN219462
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
307348300
FL
Enumeration date
09/20/2006
Last updated
09/21/2022
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