Individual
BYRON ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5885 BLUEGRASS VW, FAIRBURN, GA 30213-4735
(404) 748-2698
Mailing address
5885 BLUEGRASS VW, FAIRBURN, GA 30213-4735
(404) 748-2698
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
AP128939
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
RN199166
GA
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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