Tracy Dale Stanley, CRNA

NPI #1730496878 in Moultrie, Georgia

Provider Information

NPI Number
1730496878
Entity Type
Individual
Name
Tracy Dale Stanley, CRNA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CRNA
Enumeration Date
Sep 10, 2010
Last Updated
Aug 27, 2012

Practice Location

Address
3131 S MAIN ST
State
Georgia
ZIP Code
31768-6925
Phone
(229) 891-9131

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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