NPI 1003853052

Robert Dickerson, CRNA

Practitioner Certified Registered Nurse Anesthetist Perry, GA

Practice location

Address: 1013 Cherokee Rd, Perry, GA 31069-0824
Phone: (478) 318-0414
Mailing address: PO Box 824, Perry, GA 31069-0824

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence RN129618 (GA)

Other Nurse Anesthetist, Certified Registered providers in Georgia →

Registry record

NPI: 1003853052
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 May 2006
Record last updated: 17 Feb 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.