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Contact Information

MARY G DAGOSTINO, CRNA
2655 NORTHWINDS PARKWAY
PREMIER ANESTHESIA
ALPHARETTA, GA30009
 Phone: 877-742-0399
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for MARY G DAGOSTINO · (Female)

NPI # 1780978072
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 06/03/2011
Last updated 04/28/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • PA License # RN559969
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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