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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUGIARTO TJEN, PA

Active

SUGIARTO TJEN, PA is a Anesthesiologist Assistant healthcare provider located in COLUMBUS, Georgia. NPI 1720072010 is currently active in the NPPES registry. Verify at CMS.

Anesthesiologist Assistant · COLUMBUS, GA

Registration Details

NPI Number
1720072010
Provider Type
Individual
Gender
Male
NPI Issued
Sep 1, 2005 (20.914211905227 yrs)
Last Updated
Feb 22, 2023
Licenses
0002104 (GA)
2104 (GA)

Practice Information

Address
710 CENTER ST
COLUMBUS, GA, 319011527
Browse GA providers · Browse ZIP 31901
Phone
7065711374
Fax
7066602686
Primary Specialty
Anesthesiologist Assistant
367H00000X
Additional Specialty
Anesthesiologist Assistant

Other Anesthesiologist Assistant Providers in COLUMBUS, GA

Name Credential NPI
JAMES H TAFF JR. PAA AAC 1891789921
AMANDA CULP KOWALEWSKI PAAA 1023004942
WILLLIAM BENCE PAA 1275591240
EUGENIA TARAS PAA 1003874074
CAROL L. DUKE PAA 1568420958
JOSPEH JOHNSON PAA 1447218839
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.