CRYSTAL SHANTA WALLER

COLUMBUS, GA
NPI1992055289
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: GA  RN200147)
Enumeration Date2012-09-13
Last Update Date2012-09-13
Business Address
-- CRYSTAL SHANTA WALLER CRNA
616 19TH ST
COLUMBUS, GA 31901-1528
Phone number: 706-494-4262
Mailing Address
-- CRYSTAL SHANTA WALLER CRNA
PO BOX 5368
HIGH POINT, NC 27262-5368
Phone number: 800-339-5844
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