Jordan Lane Truby, | |
600 Celebrate Life Pkwy, Newnan, GA 30265-8001 | |
(770) 744-4809 | |
Not Available |
Full Name | Jordan Lane Truby |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 600 Celebrate Life Pkwy, Newnan, 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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1861170458 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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163W00000X | Registered Nurse | 924764 (Texas) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 145632 (Georgia) | Primary |
Entity Name | Concordia Anesthesiology Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619296464 PECOS PAC ID: 8325172885 Enrollment ID: O20100819000220 |
Mailing Address | Practice Location Address |
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Jordan Lane Truby, 600 Celebrate Life Parkway, Newnan, GA 30265 Ph: (770) 744-4809 | Jordan Lane Truby, 600 Celebrate Life Pkwy, Newnan, GA 30265-8001 Ph: (770) 744-4809 |
Rebecca Ryan Bunt, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 80 Newnan Station Drive, Suite A, Newnan, GA 30265 Phone: 770-251-2060 Fax: 678-854-9235 | |
Caitlin Craig Lofaro, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 600 Celebrate Life Pkwy, Newnan, GA 30265 Phone: 770-744-4809 | |
Timothy Joseph Palmer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 80 Newnan Station Dr, Suite A, Newnan, GA 30265 Phone: 770-251-2060 | |
Shawn Biddle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1755 Highway 34 E Ste 1100, Newnan, GA 30265 Phone: 770-252-7510 | |
Taylor Michelle Courtner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1755 Highway 34 E Ste 1100, Newnan, GA 30265 Phone: 770-252-7510 | |
Mr. Paul L Duso, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 80 Newnan Station Drive Suite A, Newnan, GA 30265 Phone: 770-251-2060 Fax: 678-854-9235 | |
Ramon Kevin Hice, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 80 Newnan Station Drive, Suite A, Newnan, GA 30265 Phone: 770-251-2060 Fax: 678-854-9235 |