DUSTIN AL INGRAM

CARROLLTON, GA
NPI1346989142
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: GA  137096)
Enumeration Date2022-05-31
Last Update Date2022-05-31
Business Address
DUSTIN AL INGRAM CRNA
705 DIXIE ST
CARROLLTON, GA 30117-3818
Phone number: 770-812-9666
Mailing Address
DUSTIN AL INGRAM CRNA
1608 DOGWOOD DR
OXFORD, AL 36203-2714
Phone number: 256-454-4269
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