Masters, Roger David

Masters, Roger David is an individual health care provider with primary practice located at 80 Newnan Station Dr Suite A, Newnan GA 30265-5209. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Masters, Roger David can be contacted via phone (770) 251-2060.

Contact Information

Primary practice address
80 Newnan Station Dr Suite A Newnan GA 30265-5209
Phone: (770) 251-2060
Fax: (678) 854-9235
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN062574 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X CRNA01013 New Mexico

Profile Details

NPI number 1144296872
LBN Legal business name Masters, Roger David
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Apr 27th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144296872 NPPES
Georgia MEDICAID 00547137C
Georgia Other 430076996

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