Individual
MRS. KORIE L AGUDELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
380 HOSPITAL DR, SUITE 410, MACON, GA 31217
(478) 746-5644
Mailing address
PO BOX 2564, MACON, GA 31203-2565
(478) 746-5644
(478) 745-4849
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN159841
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003113553I
—
GA
05
—
003113553J
—
GA
05
—
003116613A
—
GA
05
—
003116613C
—
GA
01
—
580628385
TRICARE
GA
01
—
637585
WELLCARE
GA
Enumeration date
03/25/2011
Last updated
06/04/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us