MICHAEL ANTHONY MUDGE

NEWNAN, GA
NPI1942213012
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: GA  RN182530)
Enumeration Date2006-08-13
Last Update Date2015-04-17
Business Address
-- MICHAEL ANTHONY MUDGE CRNA
80 NEWNAN STATION DRIVE, SUITE A
NEWNAN, GA 30265
Phone number: 770-251-2060
Mailing Address
-- MICHAEL ANTHONY MUDGE CRNA
PO BOX 73709
NEWNAN, GA 30271-3709
Phone number: 770-251-2060
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