Individual
MR. VINCENT NICK MUSSO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1179 MELODY LN, HARTWELL, GA 30643-4257
(706) 376-3373
Mailing address
1179 MELODY LN, HARTWELL, GA 30643-4257
(706) 376-3373
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3740
SC
367500000X
Certified Registered Nurse Anesthetist
RN147165
GA
Other
Enumeration date
01/25/2007
Last updated
09/08/2021
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