Individual
KATHLEEN HURLBUT GANGL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5126 HOSPITAL DR NE, COVINGTON, GA 30014-2566
(770) 478-9877
Mailing address
405 ARROWHEAD BLVD, STE C, JONESBORO, GA 30236-1254
(770) 478-9877
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN176791
GA
Other
Enumeration date
09/13/2011
Last updated
02/12/2013
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