Miss Natalie Marie Wilson, CRNA | |
6600 Van Aalst Blvd, Fort Benning, GA 31905-2102 | |
(912) 980-4214 | |
Not Available |
Full Name | Miss Natalie Marie Wilson |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 6600 Van Aalst Blvd, Fort Benning, 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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1841231115 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | RN098006 (Louisiana) | Primary |
Entity Name | Nmda Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306123336 PECOS PAC ID: 7113193541 Enrollment ID: O20120105000663 |
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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Miss Natalie Marie Wilson, CRNA 197 Lee Road 2207, Salem, AL 36874-2591 Ph: (912) 980-4214 | Miss Natalie Marie Wilson, CRNA 6600 Van Aalst Blvd, Fort Benning, GA 31905-2102 Ph: (912) 980-4214 |
Christopher B Miles, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 7950 Martin Loop, Fort Benning, GA 31905 Phone: 706-544-2041 | |
Jason Washington, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6600 Van Aalst Blvd, Fort Benning, GA 31905 Phone: 757-218-5078 | |
Mr. Barry Alan Vance, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 7950 Martin Loop, Fort Benning, GA 31905 Phone: 706-544-1442 |