Individual
RONALD W WOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-017327
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51525936
BLUE SHIELD
AL
01
—
P00197075
PALMETTO GBA - RR MEDICAR
—
Enumeration date
05/15/2006
Last updated
07/08/2007
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