Provider Demographics
NPI:1922148899
Name:VEAL, TONYA DALE (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:TONYA
Middle Name:DALE
Last Name:VEAL
Suffix:
Gender:F
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 81472
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30608-1472
Mailing Address - Country:US
Mailing Address - Phone:706-340-0757
Mailing Address - Fax:
Practice Address - Street 1:8771 MACON HWY
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-5266
Practice Address - Country:US
Practice Address - Phone:706-353-1301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAR112014367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered