Individual
DEANNA HOLLAND POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1900 TEBEAU ST, WAYCROSS, GA 31501-6357
(912) 338-6511
(912) 338-6512
Mailing address
PO BOX 73709, NEWNAN, GA 30271-3709
(770) 251-2060
(678) 854-9235
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN140357
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
534720281B
—
GA
05
—
534720281C
—
GA
01
—
P00352166
RR MEDICARE INDIVIDUAL
GA
Enumeration date
03/07/2006
Last updated
04/02/2019
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