Organization
DREAM TEAM ANESTHESIA ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNICE H GIST CRNA (CEO/PRESIDENT)
(478) 929-0036
Entity
Organization
Contact information
Practice address
807 CARROLL ST STE C-2002, PERRY, GA 31069-3311
(855) 491-8869
(478) 352-0095
Mailing address
PO BOX 629, PERRY, GA 31069-0629
(855) 491-8869
(478) 352-0095
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
664068606B
—
GA
01
—
Q05682
UPIN
GA
01
—
RN134488
STATE LICENSE
GA
Enumeration date
04/12/2018
Last updated
04/13/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us