Individual
DOUGLAS CONOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5665 PEACHTREE DUNWOODY RD NE, ATLANTA, GA 30342-1701
(404) 851-7324
(404) 843-2627
Mailing address
5671 PEACHTREE DUNWOODY RD NE, SUITE 530, ATLANTA, GA 30342-5000
(404) 257-1415
(404) 851-1649
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R124845
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00677047A
—
GA
Enumeration date
01/05/2007
Last updated
12/04/2007
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