Individual
MRS. ELISABETH LYNN DEMPSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
1035 RED BUD RD NE, CALHOUN, GA 30701-6008
(706) 602-9995
(706) 624-0271
Mailing address
PO BOX 128, 189 PROFESSIONAL COURT SUITE 106, CALHOUN, GA 30703-0128
(706) 602-9995
(706) 624-0271
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN143389
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300029150A
MEDICAID GRP NUMBER
GA
05
—
780016937A
—
GA
01
—
CM5659
RAILROAD GRP NUMBER
GA
01
—
GRP332
MEDICARE GRP NUMBER
GA
Enumeration date
07/08/2008
Last updated
08/02/2012
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