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JOHN LEE ALLEN CRNA
>> Nurse Anesthetist, Certified Registered >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1174985022
Individual Registrant: JOHN LEE ALLEN CRNA
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
915 GORDON AVE THOMASVILLE, GA 31792-6614 US
Tel: 334-279-1450 Fax: 334-395-4110
Tel: 334-279-1450 Fax: 334-395-4110
Contact information for business:
PO BOX 2125 COLUMBUS, GA 31902-2125 US
Tel: 334-279-1450 Fax: 334-395-4110
Tel: 334-279-1450 Fax: 334-395-4110
Registration Information:
NPI: 1174985022
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 367500000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Anesthetist, Certified Registered | GA | RN201524 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
