Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1376524801
Certified Registered Nurse Anesthetist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Eastside Medical Center, 1700, Medical Way, Snellville, Gwinnett County, Georgia, 30078, United States
SNELLVILLE, GA 300782195
Phone: (770) 979-9996
Type: Location
Suwanee Post Office, Davis Street, Suwanee, Gwinnett County, Georgia, 30024, United States
SUWANEE, GA 300240993
Phone: (770) 979-9996
Fax: (770) 979-1202
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30078)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED REGISTERED NURSE ANESTHET | GA | 00142 | Anesthesia for lens surgery | 181 | 158 |
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