Organization
FLU-VAC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER SPENCER CALDWELL SR. CRNA (MANAGING PARTNER)
(334) 821-4466
Entity
Organization
Contact information
Practice address
140 MORTON AVE, ATHENS, GA 30605-1406
(334) 821-4466
Mailing address
140 MORTON AVE, ATHENS, GA 30605-1406
(334) 821-4466
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN140624
GA
Other
Enumeration date
01/26/2010
Last updated
01/26/2010
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