Individual
DAVID WINSTON LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
550 PEACHTREE STREET, SUITE 1600, ATLANTA, GA 30308-2209
(404) 253-6820
(404) 874-1249
Mailing address
PO BOX 740209, ATLANTA, GA 30374-0209
(941) 360-1566
(941) 358-9818
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN165477
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
095140904
—
GA
Enumeration date
03/21/2006
Last updated
11/06/2013
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