Individual
STUART JACKSON O'STEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1101 OCILLA RD, DOUGLAS, GA 31533-2207
(800) 232-5703
Mailing address
PO BOX 235019, MONTGOMERY, AL 36123-5019
(334) 279-1450
(334) 279-1660
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
089959-23
NH
367500000X
Certified Registered Nurse Anesthetist
Primary
RN141563
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
875592907B
—
GA
Enumeration date
05/04/2006
Last updated
01/23/2023
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