Individual
CAROLINE WOODALL OVERGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1120 15TH ST, DEPARTMENT OF ANESTHESIOLOGY, AUGUSTA, GA 30912-0004
(706) 721-3871
Mailing address
312 HABERSHAM RD, MARTINEZ, GA 30907-9511
(706) 533-3314
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN209623
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN209623
CRNA LICENSE
GA
Enumeration date
01/22/2019
Last updated
01/22/2019
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