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NPI Code Detail

MEDICARE: LASHAWN RENEE MCCARTY RN, CRNA

MEDICARE:   LASHAWN RENEE MCCARTY  RN, 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 Anesthetist077532GA

General Provider Information

NPI Number : 1396914255
Entity Type Code : Individual
Provider Name (Legal Business Name) : LASHAWN RENEE MCCARTY RN, CRNA
Provider Business Mailing Address
First Line : 3848 CHERRY RIDGE BLVD
Second Line :
City : DECATUR
State : GA
Zip : 30034-5050
Country : US
Telephone Number : 404-212-0045
Fax Number : 404-212-6980
Provider Business Practice Location Address
First Line : 3848 CHERRY RIDGE BLVD
Second Line :
City : DECATUR
State : GA
Zip : 30034-5050
Country : US
Telephone Number : 404-212-0045
Fax Number : 404-212-6980
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2008
Last Update Date : 02/25/2008

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Directions to “ LASHAWN RENEE MCCARTY RN, CRNA” Practice Location

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