Individual
DEBORAH D GARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1199 PRINCE AVE, ATHENS, GA 30606-2797
(706) 543-3449
(706) 543-5744
Mailing address
PO BOX 7337, ATHENS, GA 30604-7337
(706) 543-3449
(706) 543-5744
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN163463
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN163463
LIC
GA
Enumeration date
11/29/2010
Last updated
11/29/2010
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