Individual
DEIDRA STALLINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2000 PALMYRA RD, ALBANY, GA 31701-1528
(229) 434-2000
Mailing address
309 MERRY WAY, PERRY, GA 31069-8414
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN264644
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN264644
GA
Other
Enumeration date
05/13/2019
Last updated
06/05/2023
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