Healthcare Provider Details

I. General information

NPI: 1124249982
Provider Name (Legal Business Name): CURTIS CLAYTON HOWELL II CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 04/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

216 CORDER RD
WARNER ROBINS GA
31088-3604
US

IV. Provider business mailing address

216 CORDER RD
WARNER ROBINS GA
31088-3604
US

V. Phone/Fax

Practice location:
  • Phone: 478-322-4100
  • Fax:
Mailing address:
  • Phone: 478-322-4100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN145028
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: