Individual
MICHELLE S WOMBLE CUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
65 WADDELL RD, WOODBURY, GA 30293-4008
(706) 573-6769
(706) 553-3525
Mailing address
80 NEWNAN STATION DR, STE A, NEWNAN, GA 30265-3194
(770) 814-6011
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN149265
GA
Other
Enumeration date
11/21/2006
Last updated
02/18/2021
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