Individual
MRS. BECKY DIANE WOODSON-ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2230 TEE DR, BRASELTON, GA 30517-4023
(770) 614-0512
(770) 614-9190
Mailing address
2230 TEE DR, BRASELTON, GA 30517-4023
(770) 614-0512
(770) 614-9190
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN110549
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00578751A
—
GA
Enumeration date
07/14/2006
Last updated
04/20/2010
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