Dexter Cicero Poss, CRNA | |
5126 Hospital Dr Ne, Covington, GA 30014-2566 | |
(770) 786-7053 | |
Not Available |
Full Name | Dexter Cicero Poss |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 5126 Hospital Dr Ne, Covington, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1366222176 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | RN279327 (Georgia) | Primary |
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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Dexter Cicero Poss, CRNA 2529 Randolph Still Rd, Good Hope, GA 30641-2136 Ph: (706) 284-4159 | Dexter Cicero Poss, CRNA 5126 Hospital Dr Ne, Covington, GA 30014-2566 Ph: (770) 786-7053 |
Nyala Becky Azangue, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5126 Hospital Dr Ne, Covington, GA 30014 Phone: 404-428-0608 | |
Kathleen Hurlbut Gangl, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5126 Hospital Dr Ne, Covington, GA 30014 Phone: 770-478-9877 | |
Dadonna M Marshall, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5126 Hospital Dr Ne, Covington, GA 30014 Phone: 770-478-9877 Fax: 770-478-2908 |