Individual
MS. ANNIE LAURIE BALTHAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2655 NORTHWINDS PKWY, ALPHARETTA, GA 30009-2280
(530) 902-9740
Mailing address
2655 NORTHWINDS PKWY, ALPHARETTA, GA 30009-2280
(530) 902-9740
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
76411
WV
Other
Enumeration date
11/10/2005
Last updated
01/15/2016
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