Individual
LAUREN RUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 RIVER PLACE DR UNIT 134, AUGUSTA, GA 30909-0053
(704) 340-8821
Mailing address
205 RIVER PLACE DR UNIT 134, AUGUSTA, GA 30909-0053
(704) 340-8821
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024186170
VA
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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