Anthony Travis Pemerton CRNA

NPI 1598752685 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1598752685
Gender Male
Enumeration Date 10/04/2005
Last Updated 05/14/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
1825 MARTHA BERRY BLVD NW
ROME GA, 30165-1625, US
Phone (706) 234-5651
Fax (706) 234-5651
Business Location
110 VALLEY BROOK DR SE
ROME GA, 30161-5966, US
Phone (706) 234-5651
Fax (706) 234-5651
Toxanomy
Taxonomy Code 367500000X
License State Georgia
License Number RN116161
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According to our database, Anthony Travis Pemerton CRNA NPI is 1598752685, taxonomy code is 367500000X and license number is RN116161, license state is located at Georgia. Anthony Travis Pemerton CRNA physically located at 1825 Martha Berry Blvd Nw, Rome GA, 30165-1625. NPI Number Anthony Travis Pemerton CRNA has the Individual type.

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1598752685 NPI number is provided on an as is basis without warranty of any kind. 1598752685 is maintained by the National Plan & Provider Enumeration System. The contents of Anthony Travis Pemerton CRNA are for informational purposes only.