ANTHONY TRAVIS PEMERTON

ROME, GA
NPI1598752685
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: GA  RN116161)
Enumeration Date2005-10-04
Last Update Date2009-05-14
Business Address
-- ANTHONY TRAVIS PEMERTON CRNA
1825 MARTHA BERRY BLVD NW
ROME, GA 30165-1625
Phone number: 706-234-5651
Mailing Address
-- ANTHONY TRAVIS PEMERTON CRNA
110 VALLEY BROOK DR SE
ROME, GA 30161-5966
Phone number: 706-234-5651
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