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Individual

MR. DEWEY GENE GALEAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
6126 COLUMBIA RD, GROVETOWN, GA 30813-5110
(706) 541-2025
(706) 541-2025
Mailing address
PO BOX 7867, FORT GORDON, GA 30905-0867
(706) 541-2025
(706) 541-2025

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
237104
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
R095261
GA
367500000X
Certified Registered Nurse Anesthetist
R78943
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00549282C
GA
Enumeration date
08/03/2005
Last updated
02/05/2015
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