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Individual

JAMES LAMARCA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
380 HOSPITAL DRIVE, STE 410, MACON, GA 31217
(478) 746-5644
(478) 745-4849
Mailing address
PO BOX 2564, MACON, GA 31203
(478) 746-5644
(478) 745-4849

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN068670CRNA
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00556498A
GA
01
337017
WELLCARE
GA
01
430002820
RAILROAD MEDICARE
GA
Enumeration date
08/04/2006
Last updated
12/08/2010
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