Individual
MARC A PHAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1601 WATSON BLVD, WARNER ROBINS, GA 31093-3431
(478) 329-0051
Mailing address
PO BOX 235019, MONTGOMERY, AL 36123-5019
(334) 279-1450
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN163732
GA
Other
Enumeration date
01/31/2008
Last updated
01/31/2008
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