Dr MARIE A ALTIDOR is a female medical professional, specializing in Certified Registered Nurse Anesthetist (crna). She graduated in 2008.
LIFELINC ANESTHESIA PLLC
393 N BELAIR RD
EVANS
GA
308093096
Tel: 7068639735
| Npi | 1043452444 |
| Pac Id | 4981754314 |
| Professional Enrollment Id | I20160616001133 |
| Last Name | ALTIDOR |
| First Name | MARIE |
| Middle Name | A |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2008 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Secondary Specialty 1 | |
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| Organization Legal Name | LIFELINC ANESTHESIA PLLC |
| Group Practice Pac Id | 0941347447 |
| Number Of Group Practice Members | 136 |
| Line 1 Street Address | 393 N BELAIR RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | EVANS |
| State | GA |
| Zip Code | 308093096 |
| Phone Number | 7068639735 |
| Hospital Affiliation Ccn 1 | 110015 |
| Hospital Affiliation Lbn 1 | TANNER MEDICAL CENTER VILLA RICA |
| Hospital Affiliation Ccn 2 | 110011 |
| Hospital Affiliation Lbn 2 | TANNER MEDICAL CENTER - CARROLLTON |
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| Professional Accepts Medicare Assignment | Y |
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