Healthcare Provider Details

I. General information

NPI: 1013837590
Provider Name (Legal Business Name): LADONNA S TOLBERT DNP, CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6600 VAN AALST BLVD
FORT BENNING GA
31905-2102
US

IV. Provider business mailing address

1510 6TH AVE UNIT 208
COLUMBUS GA
31901-2651
US

V. Phone/Fax

Practice location:
  • Phone: 762-408-2271
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberCRNA004150
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: