Provider Demographics
NPI:1225217839
Name:GORNEY, DAVID HOWARD (CRNA)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:HOWARD
Last Name:GORNEY
Suffix:
Gender:M
Credentials:CRNA
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Mailing Address - Street 1:2400 BELLEVUE RD STE 22
Mailing Address - Street 2:P O BOX 1716
Mailing Address - City:DUBLIN
Mailing Address - State:GA
Mailing Address - Zip Code:31040-1716
Mailing Address - Country:US
Mailing Address - Phone:478-275-4032
Mailing Address - Fax:478-275-0533
Practice Address - Street 1:2400 BELLEVUE RD STE 22
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:GA
Practice Address - Zip Code:31021-2889
Practice Address - Country:US
Practice Address - Phone:478-275-4032
Practice Address - Fax:478-275-0533
Is Sole Proprietor?:No
Enumeration Date:2007-10-31
Last Update Date:2012-10-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN148446367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered