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NPI Code Detail

MEDICARE: CURTIS CLAYTON HOWELL II CRNA

MEDICARE:   CURTIS CLAYTON HOWELL II CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse AnesthetistRN145028GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2P00199612OTHERGARAIL ROAD
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4812892124AOTHERGAPEACHSTATE CMO
5344334OTHERGAWELLCARE CMO

General Provider Information

NPI Number : 1124249982
Entity Type Code : Individual
Provider Name (Legal Business Name) : CURTIS CLAYTON HOWELL II CRNA
Provider Business Mailing Address
First Line : 216 CORDER RD
Second Line :
City : WARNER ROBINS
State : GA
Zip : 31088-3604
Country : US
Telephone Number : 478-322-4100
Fax Number :
Provider Business Practice Location Address
First Line : 216 CORDER RD
Second Line :
City : WARNER ROBINS
State : GA
Zip : 31088-3604
Country : US
Telephone Number : 478-322-4100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2007
Last Update Date : 04/10/2013

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Directions to “ CURTIS CLAYTON HOWELL II CRNA” Practice Location

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