Individual
NANCY MIYUMO OGENDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3950 AUSTELL RD, AUSTELL, GA 30106-1121
(770) 674-8626
(770) 732-5182
Mailing address
1635 OLD 41 HWY NW STE 112-328, KENNESAW, GA 30152-4480
(770) 674-8626
(770) 732-5182
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN232091
GA
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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