Individual provider · Type 1 NPI

Tabetha Broome Renner, PA-AC

Anesthesiologist Assistant · Macon, GA

NPI number 1487810610 Active

Practice location

400 Charter Blvd
Macon, GA 31210-4831

Call (478) 746-7577 Map

Mailing address

PO Box 2564
Macon, GA 31203-2565

Other practice locations

  • 380 Hospital Dr, Suite 410, Macon, GA 31217 · (478) 746-5644

Specialties and licenses

TaxonomyCodeLicense
Anesthesiologist Assistant 367H00000XNone listed
Anesthesiologist Assistant Primary 367H00000X05414 (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 1487810610

Tabetha Broome Renner, PA-AC's National Provider Identifier is 1487810610, issued on Aug 7, 2008. The primary taxonomy on file is Anesthesiologist Assistant (367H00000X), and the practice location is in Macon, GA. The record was last updated on Apr 13, 2022.