Organization
JDD ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLIE MARIE WORTH CPC (ASSISTANT DIRECTOR OF PATIENT ACCOU)
77025125060
Entity
Organization
Contact information
Practice address
730 S 8TH ST, GRIFFIN, GA 30224-4827
(770) 228-6644
Mailing address
3025 HWY 154 BLDG B, NEWNAN, GA 30265
(770) 251-2060
(678) 854-9235
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
05/23/2006
Last updated
08/22/2020
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