Provider Demographics
NPI:1851392526
Name:GALEAS, DEWEY GENE (CRNA)
Entity Type:Individual
Prefix:MR
First Name:DEWEY
Middle Name:GENE
Last Name:GALEAS
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7867
Mailing Address - Street 2:
Mailing Address - City:FORT GORDON
Mailing Address - State:GA
Mailing Address - Zip Code:30905-0867
Mailing Address - Country:US
Mailing Address - Phone:706-541-2025
Mailing Address - Fax:706-541-2025
Practice Address - Street 1:6126 COLUMBIA RD
Practice Address - Street 2:
Practice Address - City:GROVETOWN
Practice Address - State:GA
Practice Address - Zip Code:30813-5110
Practice Address - Country:US
Practice Address - Phone:706-541-2025
Practice Address - Fax:706-541-2025
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-03
Last Update Date:2015-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAR095261367500000X
SCR78943367500000X
TX237104367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00549282CMedicaid
GA43ZCBWTMedicare ID - Type Unspecified
GA00549282CMedicaid