Deidra Stallings, CRNA | |
2000 Palmyra Rd, Albany, GA 31701-1528 | |
(229) 434-2000 | |
Not Available |
Full Name | Deidra Stallings |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 2000 Palmyra Rd, Albany, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700442936 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WC0200X | Registered Nurse - Critical Care Medicine | RN264644 (Georgia) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | RN264644 (Georgia) | Primary |
Entity Name | Phoebe Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583 |
Entity Name | Sentry Anesthesia Management, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134544794 PECOS PAC ID: 9436372323 Enrollment ID: O20140521002571 |
Mailing Address | Practice Location Address |
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Deidra Stallings, CRNA 309 Merry Way, Perry, GA 31069-8414 Ph: () - | Deidra Stallings, CRNA 2000 Palmyra Rd, Albany, GA 31701-1528 Ph: (229) 434-2000 |
Kirby Kitchens, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2311 W Doublegate Dr, Albany, GA 31721 Phone: 229-888-2554 Fax: 229-888-2554 | |
Randall J Cannady, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 229-312-5800 Fax: 229-312-5853 | |
Misty Grimes, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 229-312-1000 | |
Terrance L Cannon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 229-439-9400 Fax: 229-436-3718 | |
Robert H Nelson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 229-312-1000 Fax: 312-312-1215 | |
Mrs. Lisa D Vallely, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2000 Palmyra Rd, Albany, GA 31701 Phone: 229-434-2161 Fax: 229-434-2502 | |
Terry Joe Durham, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 531 7th Ave, Albany, GA 31701 Phone: 229-438-9922 Fax: 229-438-9922 |