Individual
KURT LOUIS WAHNSCHAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
745 POPLAR RD, NEWNAN, GA 30265-1618
(678) 633-2859
Mailing address
19 TILLBROOK TRL, NEWNAN, GA 30265-5639
(678) 633-2859
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN254922
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN254922
GA
Other
Enumeration date
10/03/2020
Last updated
02/10/2021
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