Individual
RYAN ELIZABETH GALLETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-2129
Mailing address
111 CHILDS RD, GRAY, GA 31032-5680
(678) 925-2773
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
224026
GA
Other
Enumeration date
01/11/2018
Last updated
01/11/2018
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