Individual provider · Type 1 NPI

Ryan C. Wallentine, PA-AA

Anesthesiologist Assistant · Macon, GA

NPI number 1114209525 Active

Practice location

380 Hospital Dr, Suite 410
Macon, GA 31217

Call (478) 746-5644 Map

Fax (478) 745-4849

Mailing address

PO Box 2564
Macon, GA 31203-2564

Specialties and licenses

TaxonomyCodeLicense
Anesthesiologist Assistant 367H00000XNone listed
Anesthesiologist Assistant Primary 367H00000X006279 (GA)

Anesthesiologist Assistant: An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist …

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About NPI 1114209525

Ryan C. Wallentine, PA-AA's National Provider Identifier is 1114209525, issued on Sep 12, 2011. The primary taxonomy on file is Anesthesiologist Assistant (367H00000X), and the practice location is in Macon, GA. The record was last updated on Jun 4, 2013.