Brent H Suddeth, CRNA | |
201 Hospital Rd, Anesthesia Dept, Canton, GA 30114-2408 | |
(404) 851-6500 | |
(770) 237-1124 |
Full Name | Brent H Suddeth |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 201 Hospital Rd, Canton, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063480457 | NPI | - | NPPES |
RN149420 | Other | GA | GA NURSING LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN149420 (Georgia) | Primary |
Entity Name | Gastrointestinal Specialist Of Georgia |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801975339 PECOS PAC ID: 9335032820 Enrollment ID: O20040206000897 |
Entity Name | Progressive Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215225560 PECOS PAC ID: 7618148263 Enrollment ID: O20110912000776 |
Mailing Address | Practice Location Address |
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Brent H Suddeth, CRNA Po Box 465686, Lawrenceville, GA 30042-5686 Ph: (770) 237-1561 | Brent H Suddeth, CRNA 201 Hospital Rd, Anesthesia Dept, Canton, GA 30114-2408 Ph: (404) 851-6500 |
Morgan Maeger, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1032 Forest Creek Dr, Canton, GA 30115 Phone: 770-367-3955 | |
Khushbu Modi, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 276 Harmony Lake Dr, Canton, GA 30115 Phone: 404-488-5590 | |
Carla D Porche, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 201 Hospital Rd, Anesthesia Dept, Canton, GA 30114 Phone: 404-851-6500 Fax: 770-237-1124 | |
James Michael Rutherford, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 201 Hospital Rd, Canton, GA 30114 Phone: 770-720-5100 Fax: 770-720-4508 | |
Marni Elizabeth Daniel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 201 Hospital Rd, Canton, GA 30114 Phone: 770-720-5100 Fax: 770-720-4508 | |
Kimberle J Hickey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 201 Hospital Rd, Anesthesia Department, Canton, GA 30114 Phone: 404-851-6500 Fax: 770-237-1124 |