Individual
CONELIA STACIE AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2326 HIGHWAY 34 E STE 100, NEWNAN, GA 30265-1328
(770) 683-9840
Mailing address
1115 MONTCLAIR DR, PEACHTREE CITY, GA 30269-1879
(678) 371-6105
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN144288 CRNA
GA
Other
Enumeration date
02/26/2007
Last updated
02/11/2022
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