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Mrs. Tabetha Broome Renner, PA-AC
Anesthesiologist Assistant in Macon, Georgia
NPI 1487810610

Tabetha Broome Renner is an Anesthesiologist Assistant based in Macon, GA. Tabetha Broome Renner practices in Macon, GA and has the professional credentials of PA-AC. The NPI Number for Tabetha Broome Renner is 1487810610 and holds a License No. (Georgia).

The current practice location address for Tabetha Broome Renner is 400 Charter Blvd, Macon, GA and can be reached out via phone at 478-746-7577.

Location: 400 Charter Blvd, Macon, GA, 31203-2565
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487810610
Provider Name
Tabetha Broome Renner
Credential
PA-AC
Provider Entity Type
Individual
Gender
Female
Address
400 Charter Blvd, Macon, GA, 31203-2565
Phone Number
478-746-7577
Fax Number
Provider Enumeration Date
08/07/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
606097755D 05 GA
606097755G 05 GA
580628385 01 GA TRICARE
P01101055 01 GA RAILROAD MEDICARE
606097755E 05 GA
606097755F 05 GA
578310 01 GA WELLCARE
institution
Provider Business Practice Location Address Details
Address
400 Charter Blvd
City
Macon
State
Georgia
Zip
31210-4831
Phone Number
478-746-7577
Fax Number
person
Provider Business Mailing Address Details
Address
400 Charter Blvd
City
Macon
State
Georgia
Zip
31210-4831
Phone Number
478-746-7577
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Anesthesiologist Assistant
Speciality
-
Taxonomy
367H00000X
License No.
()
Definition
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 Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
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