Healthcare Provider Details

I. General information

NPI: 1588673784
Provider Name (Legal Business Name): MARY ELIZABETH CURTSINGER CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 08/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

226 COMMODORE DR
SAVANNAH GA
31410-3411
US

IV. Provider business mailing address

7956 VAUGHN RD # 165
MONTGOMERY AL
36116-6625
US

V. Phone/Fax

Practice location:
  • Phone: 912-897-2036
  • Fax:
Mailing address:
  • Phone: 912-429-9020
  • Fax: 912-352-0793

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN142255
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: