Organization
VERALYNN ANESTHESIA ASSOCIATES OF GEORGIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES D WILSON CRNA (PRESIDENT)
(706) 845-1473
Entity
Organization
Contact information
Practice address
521 FRANKLIN SPRINGS ST, DEPT OF ANESTHESIA, ROYSTON, GA 30662-3934
(706) 245-5071
(336) 553-3994
Mailing address
273 STOVALL RD, LAGRANGE, GA 30241-9094
(706) 845-1473
(336) 553-3994
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN065069
GA
Other
Enumeration date
12/22/2008
Last updated
12/22/2008
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