Individual
MR. BARRY ALAN VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7950 MARTIN LOOP, FORT BENNING, GA 31905-5647
(706) 544-1442
Mailing address
4560 CARNOUSTIE LN, COLUMBUS, GA 31909-8039
(706) 573-5067
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN70036
GA
Other
Enumeration date
09/24/2006
Last updated
07/08/2007
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