IDA M ANDERSON

ATLANTA, GA
NPI1811934912
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: GA  RN031229)
Enumeration Date2006-05-31
Last Update Date2007-07-08
Business Address
-- IDA M ANDERSON CRNA
303 PARKWAY DR NE
ATLANTA, GA 30312-1212
Phone number: 404-265-4000
Mailing Address
-- IDA M ANDERSON CRNA
5507 VININGS LAKE LN SW
MABLETON, GA 30126-2561
Phone number: