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Individual

SHARON L TWIBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
380 HOSPITAL DRIVE, SUITE 410, MACON, GA 31217-8014
(478) 746-5644
(478) 745-4849
Mailing address
P O BOX 2564, MACON, GA 31203
(478) 746-5644
(478) 745-4849

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN059642 CRNA
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000519505M
GA
05
000519505N
GA
05
000519505O
GA
05
000519505U
GA
01
328338
WELLCARE
GA
01
P00191761
RAILROAD MEDICARE
GA
Enumeration date
08/10/2006
Last updated
10/23/2013
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