Individual
JUSTIN GIDDENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
901 18TH ST E, TIFTON, GA 31794-3648
(229) 382-7120
Mailing address
68 RICHARDS DR APT 23, TIFTON, GA 31794-1684
(229) 947-2070
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN230837
GA
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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