Individual
DEXTER CICERO POSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5126 HOSPITAL DR NE, COVINGTON, GA 30014-2566
(770) 786-7053
Mailing address
2529 RANDOLPH STILL RD, GOOD HOPE, GA 30641-2136
(706) 284-4159
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN279327
GA
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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