Individual
QUAYE B FRIETAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
424 SPRINGDALE ST, DECATUR, GA 30030-2724
(334) 279-1450
(334) 279-1660
Mailing address
424 SPRINGDALE ST, DECATUR, GA 30030-2724
(334) 279-1450
(334) 279-1660
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN074192
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000688721F
—
GA
Enumeration date
04/12/2006
Last updated
01/05/2009
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