Individual
PATSY SPRAGUE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
405 ARROWHEAD BLVD, SUITE C, JONESBORO, GA 30236-1254
(770) 478-9877
(770) 478-2908
Mailing address
114 KLINE CIR, GRIFFIN, GA 30224-5128
(770) 228-7790
(770) 478-2908
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R030904
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00560172A
—
GA
Enumeration date
01/19/2006
Last updated
07/09/2007
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