Organization
NMDA CRNA SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JARED DERANEY CRNA (PRESIDENT)
(866) 458-0036
Entity
Organization
Contact information
Practice address
4080 MCGINNIS FERRY RD, SUITE 102, ALPHARETTA, GA 30005-3948
(888) 872-8088
(478) 974-0110
Mailing address
PO BOX 6377, WARNER ROBINS, GA 31095-6377
(866) 458-0036
(478) 974-0110
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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