Healthcare Provider Details

I. General information

NPI: 1568438232
Provider Name (Legal Business Name): ERIC N CURVIN CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2006
Last Update Date: 06/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 SLEEPY OAKS TRL NE
ROME GA
30165-9326
US

IV. Provider business mailing address

4 SLEEPY OAKS TRL NE
ROME GA
30165-9326
US

V. Phone/Fax

Practice location:
  • Phone: 706-767-1266
  • Fax: 706-232-6036
Mailing address:
  • Phone: 706-767-1266
  • Fax: 706-232-6036

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPN09588
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN122489
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN082426
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: