CHARLES VIDENA

AUGUSTA, GA
NPI1386396745
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: GA  RN236060)
Enumeration Date2022-01-26
Last Update Date2022-01-26
Business Address
CHARLES VIDENA CRNA
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-721-0211
Mailing Address
CHARLES VIDENA CRNA
2218 RIDGECREST DR
AUGUSTA, GA 30907-4800
Phone number: 706-721-0211
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