Individual
TASHA BREANE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1350 WALTON WAY, AUGUSTA, GA 30901-2612
(770) 990-5723
Mailing address
1041 BEDFORD DR, AUGUSTA, GA 30904-3168
(770) 990-5723
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN289961
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN289961
GA
Other
Enumeration date
07/08/2024
Last updated
11/01/2024
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