| Emma Collom, | |
|
4211 Aerie Cir, Evans, GA 30809-4887 | |
| (912) 506-4435 | |
| Not Available |
| Full Name | Emma Collom |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 4211 Aerie Cir, Evans, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710740469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN269391 (Georgia) | Primary |
| Entity Name | Anesthesia Consultants Of Augusta Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881877793 PECOS PAC ID: 6204905763 Enrollment ID: O20080523000204 |
| Mailing Address | Practice Location Address |
|---|---|
| Emma Collom, 4211 Aerie Cir, Evans, GA 30809-4887 Ph: (912) 506-4435 | Emma Collom, 4211 Aerie Cir, Evans, GA 30809-4887 Ph: (912) 506-4435 |
Mrs. Christine Leigh Futch Pickrell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 129 Pond View Rd, Evans, GA 30809 Phone: 706-284-3163 | |
Justin Paul Thompson, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2028 Egret Cir, Evans, GA 30809 Phone: 706-306-0422 | |
Mr. Darrell Ragan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 211 Full Circle Dr, Evans, GA 30809 Phone: 706-631-9979 | |
Lori Marie Boswell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4090 Eagle Nest Dr, Evans, GA 30809 Phone: 706-836-0246 |