Billy Gene Mims-goodman CRNA

NPI 1083673883 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1083673883
Gender Male
Enumeration Date 03/21/2006
Last Updated 11/18/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
ATLANTA GA, 30342-5000, US
Phone (404) 705-6985
Fax (404) 851-9950
Business Location
PO BOX 740209
DEPT 1029
ATLANTA GA, 30374-0209, US
Phone (941) 360-1566
Fax (941) 358-9818
Taxonomy Code 367500000X
License State Georgia
License Number RN134535
Remove 1083673883 NPI Number

According to our database, Billy Gene Mims-goodman CRNA NPI is 1083673883, taxonomy code is 367500000X and license number is RN134535, license state is located at Georgia. Billy Gene Mims-goodman CRNA physically located at 5671 Peachtree Dunwoody Rd Ne, Atlanta GA, 30342-5000. NPI Number Billy Gene Mims-goodman CRNA has the Individual type.

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1083673883 NPI number is provided on an as is basis without warranty of any kind. 1083673883 is maintained by the National Plan & Provider Enumeration System. The contents of Billy Gene Mims-goodman CRNA are for informational purposes only.