Individual
DR. NAHADA DJUAN GUDGER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
620 SKYLINE DR, JACKSON, TN 38301-3923
(731) 225-8132
Mailing address
20 BUTTERNUT CV, JACKSON, TN 38305-9518
(731) 394-7059
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
124345
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
124345
TN
Other
Enumeration date
08/21/2019
Last updated
08/26/2019
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