Individual
CORI NORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3131 S MAIN ST, MOULTRIE, GA 31768-6925
(478) 972-9348
Mailing address
153 SHADOWOOD DR, MOULTRIE, GA 31768-7970
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
110373
GA
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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