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Individual

GLORIA J. IANNONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1364 CLIFTON RD NE, STE B3, ATLANTA, GA 30322-1059
(770) 645-9181
(770) 645-8455
Mailing address
3155 N POINT PKWY, ATTN: CREDENTIALING DEPT, BUILDING F, SUITE 100, ALPHARETTA, GA 30005
(770) 645-9181
(770) 645-8455

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN079102
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000550503A
GA
05
000550503B
GA
Enumeration date
09/27/2005
Last updated
05/10/2010
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