Individual
RICHARD GERRY MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2700 WAYNE MEMORIAL DR, GOLDSBORO, NC 27534-9459
(919) 731-6068
(919) 731-6025
Mailing address
2700 WAYNE MEMORIAL DRIVE, GOLDSBORO, NC 27534-9459
(919) 731-6142
(919) 731-6966
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
215106
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8052817
—
NC
01
—
P00406464
RAILROAD-MEDICARE
NC
Enumeration date
04/20/2007
Last updated
10/16/2015
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