Individual
MERRI ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1200 MEMORIAL DR, DALTON, GA 30720-2529
(706) 272-6000
(706) 226-2283
Mailing address
PO BOX 2563, DALTON, GA 30722-2563
(706) 271-0100
(706) 272-0487
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN119572
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN119572
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000635005I
—
GA
Enumeration date
10/02/2006
Last updated
09/23/2021
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