Brent H. Suddeth CRNA

NPI 1063480457 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1063480457
Gender Male
Enumeration Date 03/10/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
201 HOSPITAL RD
ANESTHESIA DEPT
CANTON GA, 30114-2408, US
Phone (404) 851-6500
Fax (770) 237-1124
Business Location
PO BOX 465686
LAWRENCEVILLE GA, 30042-5686, US
Phone (770) 237-1561
Fax (770) 237-1124
Toxanomy
Taxonomy Code 367500000X
License State Georgia
License Number RN149420
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According to our database, Brent H. Suddeth CRNA NPI is 1063480457, taxonomy code is 367500000X and license number is RN149420, license state is located at Georgia. Brent H. Suddeth CRNA physically located at 201 Hospital Rd, Canton GA, 30114-2408. NPI Number Brent H. Suddeth CRNA has the Individual type.

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1063480457 NPI number is provided on an as is basis without warranty of any kind. 1063480457 is maintained by the National Plan & Provider Enumeration System. The contents of Brent H. Suddeth CRNA are for informational purposes only.