Individual
PATRICIA AMIRAULT CROWDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3000 HOSPITAL BLVD, ROSWELL, GA 30076-4915
(770) 751-2500
(770) 751-2609
Mailing address
PO BOX 116171, ATLANTA, GA 30368-6171
(800) 919-1190
(706) 737-2271
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN48286
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00264214
RAILROAD MEDICARE
GA
Enumeration date
09/29/2005
Last updated
10/15/2007
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